Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $112.20 / $194.98	Facility		$61.66	$112.20	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $47.86 / $77.62	Professional		$21.88	$47.86	$77.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $165.96	Facility		$64.57	$64.57	$165.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $93.33	Professional		$25.70	$25.70	$93.33
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $64.57 / $64.57	Facility		$38.90	$64.57	$64.57
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $64.57 / $64.57	Professional		$46.77	$64.57	$64.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $138.04 / $186.21	Facility		$42.66	$138.04	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $64.57 / $309.03	Professional		$23.99	$64.57	$309.03
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $64.57 / $144.54	Facility		$23.99	$64.57	$144.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $38.90 / $125.89	Professional		$30.20	$38.90	$125.89
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $54.95 / $67.61	Professional		$25.70	$54.95	$67.61
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $120.23 / $50,118.72	Facility		$36.31	$120.23	$50,118.72
United Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $57.54 / $77.62	Facility		$21.38	$57.54	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $33.11 / $95.50	Professional		$21.38	$33.11	$95.50
Univera Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $61.66 / $74.13	Facility		$15.85	$61.66	$74.13
Univera Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $54.95 / $77.62	Professional		$27.54	$54.95	$77.62