Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.34 / $61.25 / $109.93	Facility		$33.34	$61.25	$109.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.05 / $31.65 / $58.89	Professional		$26.05	$31.65	$58.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.26 / $39.26 / $102.08	Facility		$39.26	$39.26	$102.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $24.04 / $95.04	Professional		$17.32	$24.04	$95.04
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $23.56 / $39.26 / $39.26	Facility		$23.56	$39.26	$39.26
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $28.66 / $39.26 / $39.26	Professional		$28.66	$39.26	$39.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.22 / $96.20 / $377.22	Facility		$48.22	$96.20	$377.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.03 / $57.62 / $133.69	Professional		$26.03	$57.62	$133.69
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $22.10 / $51.04 / $332.00	Facility		$22.10	$51.04	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $27.48 / $41.22 / $73.42	Professional		$27.48	$41.22	$73.42
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.36 / $39.26 / $71.19	Professional		$33.36	$39.26	$71.19
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $38.28 / $96.20 / $419.14	Facility		$38.28	$96.20	$419.14
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $28.16 / $59.65 / $127.22	Professional		$28.16	$59.65	$127.22
United Facility/Professional Professional Modifier Low / Median / High Price $16.48 / $23.56 / $60.85	Professional		$16.48	$23.56	$60.85
Univera Facility/Professional Facility Modifier Low / Median / High Price $45.15 / $45.15 / $129.29	Facility		$45.15	$45.15	$129.29
Univera Facility/Professional Professional Modifier Low / Median / High Price $33.36 / $42.35 / $113.41	Professional		$33.36	$42.35	$113.41