Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.91 / $68.33 / $76.50	Facility		$57.91	$68.33	$76.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.50 / $64.29 / $81.06	Professional		$57.50	$64.29	$81.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.02 / $68.26 / $124.62	Professional		$58.02	$68.26	$124.62
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $107.79 / $107.79 / $107.79	Facility		$107.79	$107.79	$107.79
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $107.79 / $107.79 / $107.79	Professional		$107.79	$107.79	$107.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.06 / $84.06 / $84.06	Facility		$84.06	$84.06	$84.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.06 / $66.06 / $66.06	Professional		$66.06	$66.06	$66.06
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $83.01 / $162.79 / $332.00	Facility		$83.01	$162.79	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $83.01 / $116.78 / $175.98	Professional		$83.01	$116.78	$175.98
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.80 / $69.51 / $72.94	Facility		$60.80	$69.51	$72.94
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.80 / $80.26 / $124.82	Professional		$60.80	$80.26	$124.82
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $84.06 / $84.06 / $74,999.25	Facility		$84.06	$84.06	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $66.06 / $67.53 / $185.48	Professional		$66.06	$67.53	$185.48
United Facility/Professional Professional Modifier Low / Median / High Price $60.15 / $87.16 / $184.42	Professional		$60.15	$87.16	$184.42
Univera Facility/Professional Facility Modifier Low / Median / High Price $69.51 / $80.26 / $80.26	Facility		$69.51	$80.26	$80.26
Univera Facility/Professional Professional Modifier Low / Median / High Price $65.81 / $80.26 / $135.38	Professional		$65.81	$80.26	$135.38