Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.59 / $43.86 / $75.75	Facility		$22.59	$43.86	$75.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.50 / $15.69 / $26.58	Professional		$10.50	$15.69	$26.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.58 / $26.58 / $69.11	Facility		$26.58	$26.58	$69.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.80 / $13.55 / $43.55	Professional		$7.80	$13.55	$43.55
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $15.95 / $26.58 / $26.58	Facility		$15.95	$26.58	$26.58
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $19.39 / $26.58 / $26.58	Professional		$19.39	$26.58	$26.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.57 / $53.70 / $151.94	Facility		$18.57	$53.70	$151.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.73 / $29.95 / $172.61	Professional		$19.73	$29.95	$172.61
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $15.60 / $34.54 / $332.00	Facility		$15.60	$34.54	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $12.15 / $15.95 / $48.64	Professional		$12.15	$15.95	$48.64
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.41 / $16.41 / $16.41	Facility		$16.41	$16.41	$16.41
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.41 / $25.25 / $35.27	Professional		$16.41	$25.25	$35.27
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $24.36 / $64.70 / $254.50	Facility		$24.36	$64.70	$254.50
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $20.44 / $28.86 / $54.75	Professional		$20.44	$28.86	$54.75
United Facility/Professional Professional Modifier Low / Median / High Price $9.44 / $12.76 / $40.28	Professional		$9.44	$12.76	$40.28
Univera Facility/Professional Facility Modifier Low / Median / High Price $30.57 / $30.57 / $122.97	Facility		$30.57	$30.57	$122.97
Univera Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $28.76 / $36.07	Professional		$21.70	$28.76	$36.07