Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $18.48 / $28.96	Facility		$13.18	$18.48	$28.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $22.91 / $23.93	Professional		$13.18	$22.91	$23.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.96 / $35.96 / $71.92	Facility		$35.96	$35.96	$71.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.05 / $12.49 / $41.19	Professional		$10.05	$12.49	$41.19
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $21.15 / $21.15 / $29.96	Facility		$21.15	$21.15	$29.96
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $21.15 / $21.15 / $21.15	Professional		$21.15	$21.15	$21.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.14 / $16.14 / $16.14	Professional		$16.14	$16.14	$16.14
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $35.96 / $75.52 / $332.00	Facility		$35.96	$75.52	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $35.96 / $64.73 / $99.97	Professional		$35.96	$64.73	$99.97
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.58 / $20.58 / $20.79	Facility		$20.58	$20.58	$20.79
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.58 / $20.79 / $22.08	Professional		$20.58	$20.79	$22.08
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 $16.14 / $22.22 / $61.59	Professional		$16.14	$22.22	$61.59
United Facility/Professional Professional Modifier Low / Median / High Price $11.96 / $31.40 / $46.35	Professional		$11.96	$31.40	$46.35
Univera Facility/Professional Facility Modifier Low / Median / High Price $20.79 / $20.79 / $44.80	Facility		$20.79	$20.79	$44.80
Univera Facility/Professional Professional Modifier Low / Median / High Price $20.58 / $22.08 / $44.80	Professional		$20.58	$22.08	$44.80