Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.35 / $34.07 / $65.97	Facility		$30.35	$34.07	$65.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.35 / $34.20 / $65.97	Professional		$30.35	$34.20	$65.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.60 / $44.60 / $111.91	Professional		$44.60	$44.60	$111.91
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $54.05 / $58.12 / $58.12	Facility		$54.05	$58.12	$58.12
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $58.12 / $58.12 / $58.12	Professional		$58.12	$58.12	$58.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.70 / $37.70 / $38.83	Facility		$37.70	$37.70	$38.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.46 / $32.04 / $38.83	Professional		$28.46	$32.04	$38.83
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $69.75 / $156.94 / $332.00	Facility		$69.75	$156.94	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $39.09 / $55.58 / $127.64	Professional		$39.09	$55.58	$127.64
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.86 / $48.86 / $48.86	Facility		$48.86	$48.86	$48.86
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.93 / $44.54 / $58.12	Professional		$41.93	$44.54	$58.12
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $37.70 / $37.70 / $555.00	Facility		$37.70	$37.70	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $28.46 / $32.04 / $81.00	Professional		$28.46	$32.04	$81.00
United Facility/Professional Professional Modifier Low / Median / High Price $23.20 / $34.79 / $62.78	Professional		$23.20	$34.79	$62.78
Univera Facility/Professional Facility Modifier Low / Median / High Price $41.93 / $41.93 / $49.91	Facility		$41.93	$41.93	$49.91
Univera Facility/Professional Professional Modifier Low / Median / High Price $41.93 / $41.93 / $48.86	Professional		$41.93	$41.93	$48.86