Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.24 / $62.18 / $111.46	Facility		$33.24	$62.18	$111.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.91 / $21.66 / $39.11	Professional		$18.91	$21.66	$39.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.11 / $39.11 / $101.69	Facility		$39.11	$39.11	$101.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.39 / $19.10 / $62.52	Professional		$12.39	$19.10	$62.52
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $23.47 / $39.11 / $39.11	Facility		$23.47	$39.11	$39.11
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $28.55 / $39.11 / $39.11	Professional		$28.55	$39.11	$39.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.33 / $79.15 / $273.77	Facility		$27.33	$79.15	$273.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.57 / $39.45 / $188.51	Professional		$19.57	$39.45	$188.51
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $22.60 / $50.84 / $332.00	Facility		$22.60	$50.84	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $15.64 / $23.47 / $71.56	Professional		$15.64	$23.47	$71.56
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.01 / $33.81 / $41.85	Professional		$23.01	$33.81	$41.85
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $30.30 / $95.36 / $304.20	Facility		$30.30	$95.36	$304.20
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $20.36 / $42.71 / $85.00	Professional		$20.36	$42.71	$85.00
United Facility/Professional Professional Modifier Low / Median / High Price $13.84 / $20.32 / $58.67	Professional		$13.84	$20.32	$58.67
Univera Facility/Professional Facility Modifier Low / Median / High Price $44.98 / $44.98 / $93.84	Facility		$44.98	$44.98	$93.84
Univera Facility/Professional Professional Modifier Low / Median / High Price $23.01 / $37.15 / $47.01	Professional		$23.01	$37.15	$47.01