Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.38 / $26.76 / $44.86	Facility		$13.38	$26.76	$44.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.11 / $13.38 / $15.74	Professional		$9.11	$13.38	$15.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.74 / $15.74 / $40.92	Facility		$15.74	$15.74	$40.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.21 / $9.21 / $31.11	Professional		$6.21	$9.21	$31.11
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $9.44 / $15.74 / $15.74	Facility		$9.44	$15.74	$15.74
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $11.49 / $15.74 / $15.74	Professional		$11.49	$15.74	$15.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.00 / $33.06 / $132.05	Facility		$11.00	$33.06	$132.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.71 / $17.53 / $100.99	Professional		$11.71	$17.53	$100.99
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $12.60 / $22.04 / $332.00	Facility		$12.60	$22.04	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.30 / $9.44 / $28.80	Professional		$6.30	$9.44	$28.80
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.38 / $15.74 / $18.92	Professional		$13.38	$15.74	$18.92
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $15.35 / $38.29 / $212.06	Facility		$15.35	$38.29	$212.06
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $12.63 / $18.57 / $50.00	Professional		$12.63	$18.57	$50.00
United Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $9.44 / $23.61	Professional		$6.61	$9.44	$23.61
Univera Facility/Professional Facility Modifier Low / Median / High Price $18.10 / $18.10 / $57.95	Facility		$18.10	$18.10	$57.95
Univera Facility/Professional Professional Modifier Low / Median / High Price $13.87 / $17.32 / $20.89	Professional		$13.87	$17.32	$20.89