Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $87.10 / $144.54	Facility		$47.86	$87.10	$144.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $40.74 / $91.20	Professional		$25.70	$40.74	$91.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $47.86 / $125.89	Facility		$47.86	$47.86	$125.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $97.72	Professional		$19.50	$19.50	$97.72
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $47.86 / $47.86	Facility		$28.84	$47.86	$47.86
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $47.86 / $47.86	Professional		$35.48	$47.86	$47.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $102.33 / $380.19	Facility		$36.31	$102.33	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $58.88 / $234.42	Professional		$28.84	$58.88	$234.42
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $47.86 / $131.83	Facility		$21.88	$47.86	$131.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $47.86 / $91.20	Professional		$33.88	$47.86	$91.20
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $47.86 / $47.86	Facility		$47.86	$47.86	$47.86
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $47.86 / $85.11	Professional		$40.74	$47.86	$85.11
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $91.20 / $50,118.72	Facility		$43.65	$91.20	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $50.12	Professional		$47.86	$47.86	$50.12
United Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $47.86 / $57.54	Facility		$43.65	$47.86	$57.54
United Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $28.84 / $64.57	Professional		$20.42	$28.84	$64.57
Univera Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $47.86 / $85.11	Facility		$40.74	$47.86	$85.11
Univera Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $50.12 / $128.82	Professional		$40.74	$50.12	$128.82