Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.79 / $50.72 / $202.29	Facility		$28.79	$50.72	$202.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.79 / $50.72 / $150.01	Professional		$28.79	$50.72	$150.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.81 / $45.71 / $166.74	Professional		$36.81	$45.71	$166.74
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $47.26 / $47.26 / $47.26	Facility		$47.26	$47.26	$47.26
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $47.26 / $47.26 / $127.47	Professional		$47.26	$47.26	$127.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.93 / $50.93 / $50.93	Facility		$50.93	$50.93	$50.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.04 / $79.89 / $198.91	Professional		$32.04	$79.89	$198.91
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $41.00 / $332.00	Facility		$20.00	$41.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $145.41 / $191.19 / $266.10	Professional		$145.41	$191.19	$266.10
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.41 / $87.41 / $87.41	Facility		$87.41	$87.41	$87.41
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.41 / $150.25 / $274.06	Professional		$87.41	$150.25	$274.06
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $50.93 / $50.93 / $597.00	Facility		$50.93	$50.93	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $35.14 / $91.48 / $205.98	Professional		$35.14	$91.48	$205.98
United Facility/Professional Professional Modifier Low / Median / High Price $54.31 / $84.65 / $200.85	Professional		$54.31	$84.65	$200.85
Univera Facility/Professional Facility Modifier Low / Median / High Price $37.97 / $37.97 / $95.22	Facility		$37.97	$37.97	$95.22
Univera Facility/Professional Professional Modifier Low / Median / High Price $87.76 / $143.75 / $279.02	Professional		$87.76	$143.75	$279.02