Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $77.62 / $131.83	Facility		$37.15	$77.62	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $33.11 / $64.57	Professional		$12.88	$33.11	$64.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $43.65 / $114.82	Facility		$43.65	$43.65	$114.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.78 / $63.10	Professional		$17.38	$17.78	$63.10
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $43.65 / $43.65	Facility		$26.30	$43.65	$43.65
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $43.65 / $43.65	Professional		$32.36	$43.65	$43.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $93.33 / $194.98	Facility		$29.51	$93.33	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $50.12 / $213.80	Professional		$13.80	$50.12	$213.80
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $43.65 / $100.00	Facility		$13.18	$43.65	$100.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $26.30 / $85.11	Professional		$20.42	$26.30	$85.11
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $29.51 / $45.71	Professional		$16.98	$29.51	$45.71
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $83.18 / $50,118.72	Facility		$22.39	$83.18	$50,118.72
United Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $39.81 / $52.48	Facility		$13.18	$39.81	$52.48
United Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $21.38 / $66.07	Professional		$13.18	$21.38	$66.07
Univera Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $43.65 / $66.07	Facility		$15.49	$43.65	$66.07
Univera Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $37.15 / $67.61	Professional		$17.38	$37.15	$67.61