Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $70.79 / $83.18	Facility		$41.69	$70.79	$83.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $66.07 / $85.11	Professional		$48.98	$66.07	$85.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $64.57 / $74.13	Professional		$54.95	$64.57	$74.13
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Facility		$102.33	$102.33	$102.33
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Professional		$102.33	$102.33	$102.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Facility		$107.15	$107.15	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $102.33	Professional		$61.66	$61.66	$102.33
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $97.72 / $151.36	Facility		$67.61	$97.72	$151.36
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $97.72 / $138.04	Professional		$79.43	$97.72	$138.04
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $87.10 / $147.91	Professional		$56.23	$87.10	$147.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $102.33 / $158.49	Professional		$83.18	$102.33	$158.49
United Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $134.90	Facility		$60.26	$60.26	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $75.86 / $147.91	Professional		$54.95	$75.86	$147.91
Univera Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $64.57 / $74.13	Facility		$61.66	$64.57	$74.13
Univera Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $74.13 / $117.49	Professional		$56.23	$74.13	$117.49