Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.79 / $105.77 / $207.22	Facility		$56.79	$105.77	$207.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.62 / $95.21 / $147.68	Professional		$67.62	$95.21	$147.68
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $175.00 / $175.00 / $175.00	Professional	25	$175.00	$175.00	$175.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.79 / $81.93 / $155.32	Professional		$0.79	$81.93	$155.32
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $146.66 / $146.66 / $146.66	Facility		$146.66	$146.66	$146.66
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $146.66 / $146.66 / $146.66	Professional		$146.66	$146.66	$146.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.12 / $77.13 / $198.22	Professional		$66.12	$77.13	$198.22
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $159.13 / $332.00	Facility		$30.00	$159.13	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $143.76 / $220.34 / $399.65	Professional		$143.76	$220.34	$399.65
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $107.28 / $122.41 / $122.41	Facility		$107.28	$122.41	$122.41
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.32 / $122.41 / $145.66	Professional		$30.32	$122.41	$145.66
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $74,999.25	Facility		$555.00	$597.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $66.12 / $157.62 / $248.87	Professional		$66.12	$157.62	$248.87
United Facility/Professional Professional Modifier Low / Median / High Price $86.50 / $128.53 / $236.68	Professional		$86.50	$128.53	$236.68
Univera Facility/Professional Facility Modifier Low / Median / High Price $122.41 / $126.22 / $221.32	Facility		$122.41	$126.22	$221.32
Univera Facility/Professional Professional Modifier Low / Median / High Price $30.32 / $126.22 / $564.63	Professional		$30.32	$126.22	$564.63