Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.13 / $72.70 / $130.47	Facility		$44.13	$72.70	$130.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.78 / $39.61 / $69.90	Professional		$31.78	$39.61	$69.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.60 / $46.60 / $121.16	Facility		$46.60	$46.60	$121.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.14 / $38.21 / $266.64	Professional		$21.14	$38.21	$266.64
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $27.96 / $46.60 / $46.60	Facility		$27.96	$46.60	$46.60
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $34.02 / $46.60 / $46.60	Professional		$34.02	$46.60	$46.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.14 / $98.44 / $124.81	Facility		$57.14	$98.44	$124.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.92 / $72.62 / $171.72	Professional		$28.92	$72.62	$171.72
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $37.00 / $65.23 / $332.00	Facility		$37.00	$65.23	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $32.61 / $48.93 / $87.14	Professional		$32.61	$48.93	$87.14
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.28 / $46.02 / $83.11	Professional		$37.28	$46.02	$83.11
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $45.44 / $114.07 / $254.50	Facility		$45.44	$114.07	$254.50
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $34.35 / $82.12 / $220.00	Professional		$34.35	$82.12	$220.00
United Facility/Professional Professional Modifier Low / Median / High Price $19.57 / $27.96 / $70.63	Professional		$19.57	$27.96	$70.63
Univera Facility/Professional Facility Modifier Low / Median / High Price $15.67 / $49.40 / $49.40	Facility		$15.67	$49.40	$49.40
Univera Facility/Professional Professional Modifier Low / Median / High Price $39.61 / $46.60 / $64.37	Professional		$39.61	$46.60	$64.37