Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.45 / $74.45 / $75.84	Facility		$74.45	$74.45	$75.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.45 / $75.84 / $75.84	Professional		$74.45	$75.84	$75.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.94 / $74.37 / $74.37	Professional		$52.94	$74.37	$74.37
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $49.94 / $49.94 / $54.93	Facility		$49.94	$49.94	$54.93
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $49.94 / $49.94 / $49.94	Professional		$49.94	$49.94	$49.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.34 / $55.97 / $83.29	Facility		$54.34	$55.97	$83.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.29 / $83.29 / $83.29	Professional		$83.29	$83.29	$83.29
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $58.29 / $58.29 / $100.84	Facility		$58.29	$58.29	$100.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $58.29 / $58.29 / $67.03	Professional		$58.29	$58.29	$67.03
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.37 / $74.37 / $75.86	Facility		$74.37	$74.37	$75.86
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.37 / $74.37 / $75.86	Professional		$74.37	$74.37	$75.86
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $55.97 / $55.97 / $597.00	Facility		$55.97	$55.97	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $16.00 / $83.29	Professional		$16.00	$16.00	$83.29
United Facility/Professional Professional Modifier Low / Median / High Price $74.37 / $89.24 / $112.10	Professional		$74.37	$89.24	$112.10
Univera Facility/Professional Facility Modifier Low / Median / High Price $40.32 / $75.86 / $75.86	Facility		$40.32	$75.86	$75.86
Univera Facility/Professional Professional Modifier Low / Median / High Price $38.70 / $41.12 / $75.86	Professional		$38.70	$41.12	$75.86