Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.41 / $85.37 / $85.37	Facility		$42.41	$85.37	$85.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.63 / $48.00 / $62.69	Professional		$39.63	$48.00	$62.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.53 / $43.73 / $57.31	Professional		$34.53	$43.73	$57.31
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $70.02 / $70.02 / $70.02	Facility		$70.02	$70.02	$70.02
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $70.02 / $70.02 / $70.02	Professional		$70.02	$70.02	$70.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.25 / $54.25 / $54.25	Facility		$54.25	$54.25	$54.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.49 / $70.20 / $169.18	Professional		$36.49	$70.20	$169.18
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $319.00 / $319.00	Facility		$319.00	$319.00	$319.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $48.47 / $67.76 / $95.96	Professional		$48.47	$67.76	$95.96
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.22 / $46.64 / $46.64	Facility		$44.22	$46.64	$46.64
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.89 / $50.42 / $96.40	Professional		$38.89	$50.42	$96.40
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $54.25 / $54.25 / $555.00	Facility		$54.25	$54.25	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $40.40 / $67.34 / $149.37	Professional		$40.40	$67.34	$149.37
United Facility/Professional Professional Modifier Low / Median / High Price $42.32 / $57.05 / $134.65	Professional		$42.32	$57.05	$134.65
Univera Facility/Professional Facility Modifier Low / Median / High Price $44.22 / $57.19 / $57.19	Facility		$44.22	$57.19	$57.19
Univera Facility/Professional Professional Modifier Low / Median / High Price $42.90 / $57.19 / $120.90	Professional		$42.90	$57.19	$120.90