Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.14 / $54.14 / $81.20	Facility		$54.14	$54.14	$81.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.70 / $54.14 / $57.53	Professional		$46.70	$54.14	$57.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.40 / $56.40 / $56.40	Professional		$56.40	$56.40	$56.40
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $56.40 / $56.40 / $62.04	Facility		$56.40	$56.40	$62.04
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $56.40 / $56.40 / $56.40	Professional		$56.40	$56.40	$56.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.53 / $61.03 / $61.03	Facility		$57.53	$61.03	$61.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.53 / $57.53 / $57.53	Professional		$57.53	$57.53	$57.53
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $56.96 / $56.96 / $98.54	Facility		$56.96	$56.96	$98.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $56.96 / $56.96 / $65.50	Professional		$56.96	$56.96	$65.50
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.40 / $59.78 / $59.78	Facility		$56.40	$59.78	$59.78
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.40 / $59.78 / $59.78	Professional		$56.40	$59.78	$59.78
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $57.53 / $61.03 / $597.00	Facility		$57.53	$61.03	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $57.53 / $57.53 / $85.95	Professional		$57.53	$57.53	$85.95
United Facility/Professional Professional Modifier Low / Median / High Price $56.40 / $56.40 / $69.48	Professional		$56.40	$56.40	$69.48
Univera Facility/Professional Facility Modifier Low / Median / High Price $56.40 / $56.40 / $56.40	Facility		$56.40	$56.40	$56.40
Univera Facility/Professional Professional Modifier Low / Median / High Price $56.40 / $56.40 / $59.78	Professional		$56.40	$56.40	$59.78