Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.95 / $23.93 / $38.54	Facility		$16.95	$23.93	$38.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.95 / $23.93 / $38.54	Professional		$16.95	$23.93	$38.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.53 / $38.53 / $77.06	Facility		$38.53	$38.53	$77.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.98 / $24.98 / $58.61	Professional		$24.98	$24.98	$58.61
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3.78 / $27.19 / $36.26	Facility		$3.78	$27.19	$36.26
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3.78 / $27.19 / $36.26	Professional		$3.78	$27.19	$36.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.30 / $27.30 / $27.30	Facility		$27.30	$27.30	$27.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.21 / $27.30 / $44.63	Professional		$23.21	$27.30	$44.63
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $38.53 / $86.69 / $332.00	Facility		$38.53	$86.69	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $23.39 / $25.43 / $38.53	Professional		$23.39	$25.43	$38.53
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.17 / $33.11 / $33.27	Professional		$31.17	$33.11	$33.27
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $27.30 / $27.30 / $555.00	Facility		$27.30	$27.30	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $3.81 / $23.21 / $44.63	Professional		$3.81	$23.21	$44.63
United Facility/Professional Professional Modifier Low / Median / High Price $13.38 / $22.91 / $36.51	Professional		$13.38	$22.91	$36.51
Univera Facility/Professional Facility Modifier Low / Median / High Price $31.17 / $31.17 / $36.43	Facility		$31.17	$31.17	$36.43
Univera Facility/Professional Professional Modifier Low / Median / High Price $31.17 / $31.17 / $33.11	Professional		$31.17	$31.17	$33.11