Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $27.54 / $38.90	Facility		$14.13	$27.54	$38.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $20.89 / $32.36	Professional		$14.13	$20.89	$32.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $54.95	Professional		$17.38	$17.38	$54.95
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $28.84 / $28.84	Facility		$26.92	$28.84	$28.84
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Professional		$28.84	$28.84	$28.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $54.95 / $50,118.72	Facility		$20.89	$54.95	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $34.67	Professional		$17.38	$17.38	$34.67
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $57.54 / $134.90	Facility		$35.48	$57.54	$134.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $38.90 / $67.61	Professional		$19.50	$38.90	$67.61
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.55 / $3.55 / $3.72	Facility		$3.55	$3.55	$3.72
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $25.12 / $25.12	Professional		$3.55	$25.12	$25.12
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $50,118.72 / $75,857.76	Facility		$7.76	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $33.88 / $33.88	Professional		$22.91	$33.88	$33.88
United Facility/Professional Facility Modifier Low / Median / High Price $0.22 / $13.49 / $21.88	Facility		$0.22	$13.49	$21.88
United Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $16.98 / $28.84	Professional		$11.48	$16.98	$28.84
Univera Facility/Professional Facility Modifier Low / Median / High Price $3.55 / $24.55 / $25.12	Facility		$3.55	$24.55	$25.12
Univera Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $25.12 / $25.12	Professional		$3.55	$25.12	$25.12