Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.96 / $47.99 / $54.12	Facility		$32.96	$47.99	$54.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.96 / $47.99 / $60.96	Professional		$32.96	$47.99	$60.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.40 / $57.04 / $90.63	Professional		$47.40	$57.04	$90.63
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $76.25 / $76.25 / $76.25	Facility		$76.25	$76.25	$76.25
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $76.25 / $76.25 / $76.25	Professional		$76.25	$76.25	$76.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.88 / $56.88 / $56.88	Facility		$56.88	$56.88	$56.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.04 / $44.04 / $44.04	Professional		$44.04	$44.04	$44.04
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $53.96 / $107.52 / $332.00	Facility		$53.96	$107.52	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $53.96 / $78.66 / $114.40	Professional		$53.96	$78.66	$114.40
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.89 / $46.82 / $48.14	Facility		$40.89	$46.82	$48.14
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.89 / $52.43 / $83.95	Professional		$40.89	$52.43	$83.95
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $56.88 / $56.88 / $74,999.25	Facility		$56.88	$56.88	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $44.04 / $46.65 / $122.25	Professional		$44.04	$46.65	$122.25
United Facility/Professional Professional Modifier Low / Median / High Price $43.99 / $63.40 / $128.56	Professional		$43.99	$63.40	$128.56
Univera Facility/Professional Facility Modifier Low / Median / High Price $46.82 / $53.98 / $53.98	Facility		$46.82	$53.98	$53.98
Univera Facility/Professional Professional Modifier Low / Median / High Price $44.26 / $53.98 / $91.05	Professional		$44.26	$53.98	$91.05