Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.47 / $76.43 / $144.78	Facility		$41.47	$76.43	$144.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.92 / $67.62 / $106.33	Professional		$38.92	$67.62	$106.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $90.00 / $120.00	Facility		$60.00	$90.00	$120.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.11 / $56.32 / $130.72	Professional		$40.11	$56.32	$130.72
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $61.68 / $61.68 / $61.68	Facility		$61.68	$61.68	$61.68
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $61.68 / $61.68 / $115.15	Professional		$61.68	$61.68	$115.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.90 / $68.90 / $68.90	Facility		$68.90	$68.90	$68.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.82 / $94.68 / $246.62	Professional		$42.82	$94.68	$246.62
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $37.25 / $37.25 / $319.00	Facility		$37.25	$37.25	$319.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $81.14 / $109.98 / $155.96	Professional		$81.14	$109.98	$155.96
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.83 / $41.83 / $74.88	Facility		$41.83	$41.83	$74.88
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.37 / $100.26 / $171.14	Professional		$63.37	$100.26	$171.14
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $68.90 / $68.90 / $555.00	Facility		$68.90	$68.90	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $50.97 / $96.48 / $212.29	Professional		$50.97	$96.48	$212.29
United Facility/Professional Facility Modifier Low / Median / High Price $39.76 / $39.76 / $39.76	Facility		$39.76	$39.76	$39.76
United Facility/Professional Professional Modifier Low / Median / High Price $69.70 / $91.29 / $211.78	Professional		$69.70	$91.29	$211.78
Univera Facility/Professional Facility Modifier Low / Median / High Price $40.97 / $40.97 / $74.88	Facility		$40.97	$40.97	$74.88
Univera Facility/Professional Professional Modifier Low / Median / High Price $65.97 / $101.47 / $171.14	Professional		$65.97	$101.47	$171.14