Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.11 / $44.11 / $66.17	Facility		$44.11	$44.11	$66.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.04 / $44.11 / $54.92	Professional		$38.04	$44.11	$54.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.70 / $34.70 / $43.38	Facility		$34.70	$34.70	$43.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.94 / $45.95 / $45.95	Professional		$29.94	$45.95	$45.95
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $30.99 / $30.99 / $32.54	Facility		$30.99	$30.99	$32.54
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $30.99 / $30.99 / $30.99	Professional		$30.99	$30.99	$30.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.72 / $31.65 / $48.24	Facility		$30.72	$31.65	$48.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.87 / $46.87 / $46.87	Professional		$46.87	$46.87	$46.87
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $39.40 / $59.10 / $332.00	Facility		$39.40	$59.10	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $39.40 / $39.40 / $56.06	Professional		$39.40	$39.40	$56.06
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.40 / $40.94 / $40.94	Facility		$39.40	$40.94	$40.94
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.40 / $40.94 / $40.94	Professional		$39.40	$40.94	$40.94
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $31.65 / $31.65 / $597.00	Facility		$31.65	$31.65	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $46.87 / $47.28	Professional		$1.00	$46.87	$47.28
United Facility/Professional Professional Modifier Low / Median / High Price $45.95 / $45.95 / $64.39	Professional		$45.95	$45.95	$64.39
Univera Facility/Professional Facility Modifier Low / Median / High Price $39.40 / $39.40 / $39.40	Facility		$39.40	$39.40	$39.40
Univera Facility/Professional Professional Modifier Low / Median / High Price $11.50 / $39.40 / $40.94	Professional		$11.50	$39.40	$40.94