Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $40.74 / $64.57	Facility		$33.11	$40.74	$64.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $47.86 / $58.88	Professional		$40.74	$47.86	$58.88
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Professional		$79.43	$79.43	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Facility		$85.11	$85.11	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $79.43	Professional		$48.98	$48.98	$79.43
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $69.18 / $138.04	Facility		$64.57	$69.18	$138.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $75.86 / $107.15	Professional		$60.26	$75.86	$107.15
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $61.66	Facility		$52.48	$52.48	$61.66
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $61.66 / $117.49	Professional		$45.71	$61.66	$117.49
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $79.43 / $123.03	Professional		$64.57	$79.43	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $60.26 / $109.65	Professional		$38.90	$60.26	$109.65
Univera Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $60.26 / $61.66	Facility		$45.71	$60.26	$61.66
Univera Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $60.26 / $95.50	Professional		$45.71	$60.26	$95.50