Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.61 / $29.63 / $48.58	Facility		$23.61	$29.63	$48.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.61 / $23.61 / $32.79	Professional		$23.61	$23.61	$32.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.88 / $23.61 / $35.42	Professional		$19.88	$23.61	$35.42
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $21.76 / $21.76 / $22.85	Facility		$21.76	$21.76	$22.85
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $21.76 / $21.76 / $21.76	Professional		$21.76	$21.76	$21.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.27 / $22.27 / $23.61	Facility		$22.27	$22.27	$23.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.61 / $23.61 / $23.61	Professional		$23.61	$23.61	$23.61
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $22.27 / $33.40 / $332.00	Facility		$22.27	$33.40	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $25.61 / $25.61 / $44.95	Professional		$25.61	$25.61	$44.95
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.61 / $23.61 / $24.50	Facility		$23.61	$23.61	$24.50
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.61 / $23.61 / $24.50	Professional		$23.61	$23.61	$24.50
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $22.27 / $22.27 / $555.00	Facility		$22.27	$22.27	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $23.61 / $35.20 / $51.21	Professional		$23.61	$35.20	$51.21
United Facility/Professional Professional Modifier Low / Median / High Price $23.61 / $23.61 / $39.74	Professional		$23.61	$23.61	$39.74
Univera Facility/Professional Facility Modifier Low / Median / High Price $24.50 / $24.50 / $24.50	Facility		$24.50	$24.50	$24.50
Univera Facility/Professional Professional Modifier Low / Median / High Price $6.35 / $23.61 / $24.50	Professional		$6.35	$23.61	$24.50