Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $52.48 / $87.10	Facility		$29.51	$52.48	$87.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $23.99 / $47.86	Professional		$15.14	$23.99	$47.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $29.51 / $75.86	Facility		$29.51	$29.51	$75.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $11.75 / $58.88	Professional		$11.75	$11.75	$58.88
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $29.51 / $29.51	Facility		$17.38	$29.51	$29.51
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $29.51 / $29.51	Professional		$21.38	$29.51	$29.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $63.10 / $104.71	Facility		$19.50	$63.10	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $38.02 / $141.25	Professional		$17.38	$38.02	$141.25
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $29.51 / $81.28	Facility		$12.88	$29.51	$81.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $24.55 / $54.95	Professional		$20.42	$24.55	$54.95
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Facility		$21.88	$21.88	$21.88
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $27.54 / $52.48	Professional		$21.88	$27.54	$52.48
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $52.48 / $50,118.72	Facility		$22.91	$52.48	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Professional		$29.51	$29.51	$29.51
United Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $29.51 / $34.67	Facility		$26.30	$29.51	$34.67
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $17.38 / $38.90	Professional		$12.30	$17.38	$38.90
Univera Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $25.12 / $43.65	Facility		$21.88	$25.12	$43.65
Univera Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $28.84 / $57.54	Professional		$21.88	$28.84	$57.54