Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.97 / $28.00 / $61.83	Facility		$19.97	$28.00	$61.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $22.66 / $56.09	Professional		$14.40	$22.66	$56.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.34 / $38.06 / $75.00	Professional		$21.34	$38.06	$75.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $60.05 / $60.05 / $60.05	Facility		$60.05	$60.05	$60.05
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $60.05 / $60.05 / $60.05	Professional		$60.05	$60.05	$60.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.61 / $80.00 / $226.00	Facility		$38.61	$80.00	$226.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.58 / $42.46 / $116.06	Professional		$21.58	$42.46	$116.06
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $28.12 / $53.28 / $332.00	Facility		$28.12	$53.28	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $37.60 / $54.25 / $110.00	Professional		$37.60	$54.25	$110.00
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.29 / $40.01 / $40.36	Facility		$32.29	$40.01	$40.36
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.98 / $32.29 / $68.00	Professional		$27.98	$32.29	$68.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $38.61 / $555.00 / $597.00	Facility		$38.61	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $26.50 / $45.67 / $113.94	Professional		$26.50	$45.67	$113.94
United Facility/Professional Professional Modifier Low / Median / High Price $24.72 / $33.19 / $70.27	Professional		$24.72	$33.19	$70.27
Univera Facility/Professional Facility Modifier Low / Median / High Price $32.29 / $37.50 / $90.71	Facility		$32.29	$37.50	$90.71
Univera Facility/Professional Professional Modifier Low / Median / High Price $27.98 / $37.50 / $86.97	Professional		$27.98	$37.50	$86.97