Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $30.20 / $47.86	Facility		$15.85	$30.20	$47.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $12.88 / $23.44	Professional		$10.96	$12.88	$23.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $15.85 / $41.69	Facility		$15.85	$15.85	$41.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $8.13 / $38.02	Professional		$7.94	$8.13	$38.02
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $15.85 / $15.85	Facility		$9.55	$15.85	$15.85
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $15.85 / $15.85	Professional		$11.75	$15.85	$15.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $34.67 / $173.78	Facility		$11.22	$34.67	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $22.91 / $104.71	Professional		$10.47	$22.91	$104.71
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $26.30 / $61.66	Facility		$15.85	$26.30	$61.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $11.22 / $30.90	Professional		$7.59	$11.22	$30.90
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $15.85 / $21.38	Professional		$13.49	$15.85	$21.38
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $30.20 / $50,118.72	Facility		$19.95	$30.20	$50,118.72
United Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $14.45 / $19.05	Facility		$9.55	$14.45	$19.05
United Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $9.55 / $23.99	Professional		$6.76	$9.55	$23.99
Univera Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $18.20 / $43.65	Facility		$13.49	$18.20	$43.65
Univera Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $16.60 / $45.71	Professional		$13.49	$16.60	$45.71