Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.01 / $78.31 / $131.30	Facility		$40.01	$78.31	$131.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.20 / $35.93 / $46.07	Professional		$34.20	$35.93	$46.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.07 / $46.07 / $119.78	Facility		$46.07	$46.07	$119.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.98 / $27.87 / $103.98	Professional		$21.98	$27.87	$103.98
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $27.64 / $46.07 / $46.07	Facility		$27.64	$46.07	$46.07
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $33.63 / $46.07 / $46.07	Professional		$33.63	$46.07	$46.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.19 / $93.28 / $473.25	Facility		$32.19	$93.28	$473.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.27 / $53.48 / $295.64	Professional		$34.27	$53.48	$295.64
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $20.10 / $59.89 / $332.00	Facility		$20.10	$59.89	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $18.43 / $27.64 / $84.31	Professional		$18.43	$27.64	$84.31
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.15 / $46.07 / $61.16	Professional		$39.15	$46.07	$61.16
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $42.23 / $112.38 / $550.07	Facility		$42.23	$112.38	$550.07
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $36.77 / $63.30 / $94.90	Professional		$36.77	$63.30	$94.90
United Facility/Professional Professional Modifier Low / Median / High Price $19.35 / $27.64 / $72.61	Professional		$19.35	$27.64	$72.61
Univera Facility/Professional Facility Modifier Low / Median / High Price $52.98 / $52.98 / $169.76	Facility		$52.98	$52.98	$169.76
Univera Facility/Professional Professional Modifier Low / Median / High Price $40.60 / $51.50 / $66.31	Professional		$40.60	$51.50	$66.31