Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $85.11 / $141.25	Facility		$46.77	$85.11	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $43.65 / $131.83	Professional		$30.90	$43.65	$131.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $123.03	Facility		$46.77	$46.77	$123.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $18.62 / $89.13	Professional		$18.62	$18.62	$89.13
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $46.77 / $46.77	Facility		$28.18	$46.77	$46.77
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $93.33	Professional		$46.77	$46.77	$93.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $100.00 / $223.87	Facility		$31.62	$100.00	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $66.07 / $229.09	Professional		$28.18	$66.07	$229.09
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $169.82 / $269.15	Facility		$53.70	$169.82	$269.15
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $46.77 / $89.13	Professional		$33.11	$46.77	$89.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $44.67 / $83.18	Professional		$38.02	$44.67	$83.18
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $89.13 / $50,118.72	Facility		$46.77	$89.13	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $47.86	Professional		$46.77	$46.77	$47.86
United Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $46.77 / $56.23	Facility		$42.66	$46.77	$56.23
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $28.18 / $61.66	Professional		$19.95	$28.18	$61.66
Univera Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $50.12	Facility		$39.81	$39.81	$50.12
Univera Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $44.67 / $93.33	Professional		$38.02	$44.67	$93.33