Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.53 / $106.94 / $191.94	Facility		$55.53	$106.94	$191.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.40 / $53.47 / $94.60	Professional		$32.40	$53.47	$94.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $68.55 / $68.55 / $178.23	Facility		$68.55	$68.55	$178.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.42 / $41.13 / $128.91	Professional		$27.42	$41.13	$128.91
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $41.13 / $68.55 / $68.55	Facility		$41.13	$68.55	$68.55
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $50.04 / $68.55 / $68.55	Professional		$50.04	$68.55	$68.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.80 / $144.82 / $182.56	Facility		$83.80	$144.82	$182.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.14 / $97.07 / $221.96	Professional		$41.14	$97.07	$221.96
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $21.00 / $89.12 / $332.00	Facility		$21.00	$89.12	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $47.99 / $71.52 / $125.45	Professional		$47.99	$71.52	$125.45
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.48 / $65.12 / $124.30	Professional		$54.48	$65.12	$124.30
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $66.84 / $166.86 / $254.50	Facility		$66.84	$166.86	$254.50
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $41.74 / $83.62 / $205.65	Professional		$41.74	$83.62	$205.65
United Facility/Professional Professional Modifier Low / Median / High Price $28.79 / $35.72 / $102.83	Professional		$28.79	$35.72	$102.83
Univera Facility/Professional Facility Modifier Low / Median / High Price $72.66 / $72.66 / $81.58	Facility		$72.66	$72.66	$81.58
Univera Facility/Professional Professional Modifier Low / Median / High Price $58.27 / $68.55 / $85.95	Professional		$58.27	$68.55	$85.95