Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.93 / $42.77 / $192.52	Facility		$28.93	$42.77	$192.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.24 / $31.43 / $44.78	Professional		$27.24	$31.43	$44.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.79 / $28.91 / $42.91	Professional		$0.79	$28.91	$42.91
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $51.24 / $51.24 / $51.24	Facility		$51.24	$51.24	$51.24
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $51.24 / $51.24 / $51.24	Professional		$51.24	$51.24	$51.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.03 / $40.03 / $40.03	Facility		$40.03	$40.03	$40.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.69 / $44.46 / $96.12	Professional		$26.69	$44.46	$96.12
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $17.00 / $42.68 / $332.00	Facility		$17.00	$42.68	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $38.14 / $55.15 / $80.86	Professional		$38.14	$55.15	$80.86
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.72 / $32.83 / $34.44	Facility		$28.72	$32.83	$34.44
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.72 / $36.77 / $61.27	Professional		$28.72	$36.77	$61.27
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $40.03 / $40.03 / $74,999.25	Facility		$40.03	$40.03	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $24.41 / $45.24 / $96.29	Professional		$24.41	$45.24	$96.29
United Facility/Professional Professional Modifier Low / Median / High Price $27.30 / $40.97 / $90.57	Professional		$27.30	$40.97	$90.57
Univera Facility/Professional Facility Modifier Low / Median / High Price $32.83 / $33.79 / $40.54	Facility		$32.83	$33.79	$40.54
Univera Facility/Professional Professional Modifier Low / Median / High Price $32.83 / $39.36 / $89.27	Professional		$32.83	$39.36	$89.27