Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.27 / $26.73 / $62.53	Facility		$13.27	$26.73	$62.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.32 / $11.75 / $13.77	Professional		$4.32	$11.75	$13.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.20 / $16.20 / $42.12	Facility		$16.20	$16.20	$42.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.21 / $6.51 / $21.92	Professional		$3.21	$6.51	$21.92
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $9.72 / $16.20 / $16.20	Facility		$9.72	$16.20	$16.20
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $11.83 / $16.20 / $16.20	Professional		$11.83	$16.20	$16.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.32 / $32.50 / $62.53	Facility		$11.32	$32.50	$62.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.76 / $16.44 / $84.46	Professional		$9.76	$16.44	$84.46
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $6.50 / $21.06 / $332.00	Facility		$6.50	$21.06	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.40 / $9.64 / $29.65	Professional		$7.40	$9.64	$29.65
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.11 / $8.11 / $8.11	Facility		$8.11	$8.11	$8.11
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.11 / $12.35 / $16.98	Professional		$8.11	$12.35	$16.98
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $15.68 / $39.15 / $176.68	Facility		$15.68	$39.15	$176.68
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $5.48 / $10.52 / $29.04	Professional		$5.48	$10.52	$29.04
United Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $7.78 / $23.79	Professional		$5.25	$7.78	$23.79
Univera Facility/Professional Facility Modifier Low / Median / High Price $18.63 / $18.63 / $34.28	Facility		$18.63	$18.63	$34.28
Univera Facility/Professional Professional Modifier Low / Median / High Price $8.41 / $12.66 / $19.47	Professional		$8.41	$12.66	$19.47