Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.99 / $48.56 / $54.10	Facility		$32.99	$48.56	$54.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.99 / $48.03 / $60.96	Professional		$32.99	$48.03	$60.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.45 / $57.09 / $90.72	Professional		$47.45	$57.09	$90.72
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $76.70 / $76.70 / $76.70	Facility		$76.70	$76.70	$76.70
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $76.70 / $76.70 / $76.70	Professional		$76.70	$76.70	$76.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.78 / $55.78 / $55.78	Facility		$55.78	$55.78	$55.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.15 / $43.15 / $43.15	Professional		$43.15	$43.15	$43.15
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $52.84 / $105.29 / $332.00	Facility		$52.84	$105.29	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $52.84 / $77.08 / $112.02	Professional		$52.84	$77.08	$112.02
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.07 / $45.88 / $47.15	Facility		$40.07	$45.88	$47.15
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.07 / $51.38 / $82.26	Professional		$40.07	$51.38	$82.26
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $55.78 / $55.78 / $74,999.25	Facility		$55.78	$55.78	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $43.15 / $46.68 / $119.90	Professional		$43.15	$46.68	$119.90
United Facility/Professional Professional Modifier Low / Median / High Price $43.33 / $60.62 / $134.04	Professional		$43.33	$60.62	$134.04
Univera Facility/Professional Facility Modifier Low / Median / High Price $45.88 / $52.90 / $52.90	Facility		$45.88	$52.90	$52.90
Univera Facility/Professional Professional Modifier Low / Median / High Price $43.37 / $52.90 / $89.22	Professional		$43.37	$52.90	$89.22