Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.67 / $57.67 / $57.67	Facility		$57.67	$57.67	$57.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.67 / $57.67 / $57.67	Professional		$57.67	$57.67	$57.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.91 / $17.46 / $48.37	Professional		$13.91	$17.46	$48.37
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $73.40 / $104.86 / $104.86	Facility		$73.40	$104.86	$104.86
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $104.86 / $104.86 / $104.86	Professional		$104.86	$104.86	$104.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $10.73 / $12.86	Professional		$10.23	$10.73	$12.86
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.86 / $104.86 / $104.86	Facility		$104.86	$104.86	$104.86
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.86 / $104.86 / $104.86	Professional		$104.86	$104.86	$104.86
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 $10.23 / $10.73 / $12.86	Professional		$10.23	$10.73	$12.86
United Facility/Professional Professional Modifier Low / Median / High Price $41.94 / $62.92 / $141.56	Professional		$41.94	$62.92	$141.56
Univera Facility/Professional Facility Modifier Low / Median / High Price $104.86 / $104.86 / $104.86	Facility		$104.86	$104.86	$104.86
Univera Facility/Professional Professional Modifier Low / Median / High Price $104.86 / $104.86 / $104.86	Professional		$104.86	$104.86	$104.86