Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.53 / $57.94 / $83.65	Facility		$49.53	$57.94	$83.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.50 / $59.93 / $82.10	Professional		$47.50	$59.93	$82.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.18 / $65.53 / $79.02	Professional		$54.18	$65.53	$79.02
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $93.00 / $93.00 / $93.00	Facility		$93.00	$93.00	$93.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $93.00 / $93.00 / $97.30	Professional		$93.00	$93.00	$97.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.37 / $84.37 / $84.37	Facility		$84.37	$84.37	$84.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.03 / $91.96 / $189.34	Professional		$51.03	$91.96	$189.34
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $22.33 / $22.33 / $319.00	Facility		$22.33	$22.33	$319.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $67.97 / $95.15 / $134.15	Professional		$67.97	$95.15	$134.15
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.69 / $69.69 / $79.09	Facility		$69.69	$69.69	$79.09
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.86 / $71.09 / $121.66	Professional		$39.86	$71.09	$121.66
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $84.37 / $84.37 / $555.00	Facility		$84.37	$84.37	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $45.11 / $91.83 / $181.13	Professional		$45.11	$91.83	$181.13
Optum Facility/Professional Professional Modifier Low / Median / High Price $50.07 / $69.14 / $87.05	Professional		$50.07	$69.14	$87.05
United Facility/Professional Facility Modifier Low / Median / High Price $54.26 / $54.26 / $54.26	Facility		$54.26	$54.26	$54.26
United Facility/Professional Professional Modifier Low / Median / High Price $52.85 / $72.63 / $143.18	Professional		$52.85	$72.63	$143.18
Univera Facility/Professional Facility Modifier Low / Median / High Price $61.02 / $69.69 / $69.69	Facility		$61.02	$69.69	$69.69
Univera Facility/Professional Professional Modifier Low / Median / High Price $61.82 / $83.78 / $156.46	Professional		$61.82	$83.78	$156.46