Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $60.00 / $90.00	Facility		$60.00	$60.00	$90.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.75 / $60.00 / $63.75	Professional		$51.75	$60.00	$63.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.11 / $54.11 / $67.64	Facility		$54.11	$54.11	$67.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.50 / $62.50 / $62.50	Professional		$57.50	$62.50	$62.50
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $57.50 / $57.50 / $63.25	Facility		$57.50	$57.50	$63.25
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $57.50 / $57.50 / $57.50	Professional		$57.50	$57.50	$57.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.75 / $71.76 / $71.76	Facility		$63.75	$71.76	$71.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.75 / $63.75 / $63.75	Professional		$63.75	$63.75	$63.75
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $183.95 / $183.95 / $298.00	Facility		$183.95	$183.95	$298.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $183.95 / $183.95 / $211.54	Professional		$183.95	$183.95	$211.54
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $65.00 / $183.95	Facility		$65.00	$65.00	$183.95
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $65.00 / $183.95	Professional		$65.00	$65.00	$183.95
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $63.75 / $71.76 / $597.00	Facility		$63.75	$71.76	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $63.75 / $63.75 / $118.18	Professional		$63.75	$63.75	$118.18
United Facility/Professional Professional Modifier Low / Median / High Price $62.50 / $62.50 / $116.43	Professional		$62.50	$62.50	$116.43
Univera Facility/Professional Facility Modifier Low / Median / High Price $183.95 / $183.95 / $183.95	Facility		$183.95	$183.95	$183.95
Univera Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $88.08 / $183.95	Professional		$65.00	$88.08	$183.95