Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.19 / $35.35 / $57.57	Facility		$19.19	$35.35	$57.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $17.17 / $20.20	Professional		$15.00	$17.17	$20.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.20 / $20.20 / $52.52	Facility		$20.20	$20.20	$52.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.98 / $12.32 / $46.29	Professional		$9.98	$12.32	$46.29
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $12.12 / $20.20 / $20.20	Facility		$12.12	$20.20	$20.20
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $14.75 / $20.20 / $20.20	Professional		$14.75	$20.20	$20.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.12 / $40.99 / $206.69	Facility		$14.12	$40.99	$206.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.97 / $22.65 / $130.37	Professional		$14.97	$22.65	$130.37
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $20.20 / $33.33 / $332.00	Facility		$20.20	$33.33	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $9.23 / $12.12 / $36.97	Professional		$9.23	$12.12	$36.97
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.20 / $20.20 / $20.20	Facility		$20.20	$20.20	$20.20
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.23 / $20.20 / $24.28	Professional		$16.23	$20.20	$24.28
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $19.70 / $49.38 / $254.50	Facility		$19.70	$49.38	$254.50
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $16.21 / $27.76 / $42.48	Professional		$16.21	$27.76	$42.48
United Facility/Professional Professional Modifier Low / Median / High Price $8.48 / $12.12 / $31.31	Professional		$8.48	$12.12	$31.31
Univera Facility/Professional Facility Modifier Low / Median / High Price $23.23 / $23.23 / $64.23	Facility		$23.23	$23.23	$64.23
Univera Facility/Professional Professional Modifier Low / Median / High Price $15.76 / $20.58 / $26.06	Professional		$15.76	$20.58	$26.06