Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.31 / $83.41 / $149.72	Facility		$43.31	$83.41	$149.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.95 / $45.45 / $71.34	Professional		$25.95	$45.45	$71.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.47 / $53.47 / $139.02	Facility		$53.47	$53.47	$139.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.88 / $27.85 / $107.47	Professional		$19.88	$27.85	$107.47
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $32.08 / $53.47 / $53.47	Facility		$32.08	$53.47	$53.47
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $39.03 / $53.47 / $53.47	Professional		$39.03	$53.47	$53.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.29 / $130.25 / $375.73	Facility		$65.29	$130.25	$375.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.38 / $65.54 / $172.37	Professional		$31.38	$65.54	$172.37
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $22.10 / $69.51 / $332.00	Facility		$22.10	$69.51	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $37.43 / $56.14 / $97.85	Professional		$37.43	$56.14	$97.85
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.45 / $52.81 / $96.96	Professional		$45.45	$52.81	$96.96
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $49.01 / $130.25 / $417.48	Facility		$49.01	$130.25	$417.48
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $31.60 / $75.01 / $160.41	Professional		$31.60	$75.01	$160.41
United Facility/Professional Professional Modifier Low / Median / High Price $22.46 / $29.52 / $81.04	Professional		$22.46	$29.52	$81.04
Univera Facility/Professional Facility Modifier Low / Median / High Price $61.49 / $61.49 / $128.76	Facility		$61.49	$61.49	$128.76
Univera Facility/Professional Professional Modifier Low / Median / High Price $45.45 / $56.06 / $142.09	Professional		$45.45	$56.06	$142.09