Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.37 / $68.43 / $112.18	Facility		$50.37	$68.43	$112.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.37 / $50.86 / $73.03	Professional		$50.37	$50.86	$73.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.29 / $40.29 / $50.36	Facility		$40.29	$40.29	$50.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.37 / $50.37 / $71.44	Professional		$50.37	$50.37	$71.44
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $53.56 / $53.56 / $56.24	Facility		$53.56	$53.56	$56.24
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $53.56 / $53.56 / $53.56	Professional		$53.56	$53.56	$53.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.51 / $47.51 / $51.36	Facility		$47.51	$47.51	$51.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.37 / $50.37 / $50.37	Professional		$50.37	$50.37	$50.37
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $47.51 / $71.27 / $332.00	Facility		$47.51	$71.27	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $54.64 / $54.64 / $80.04	Professional		$54.64	$54.64	$80.04
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.37 / $50.37 / $51.32	Facility		$50.37	$50.37	$51.32
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.37 / $50.37 / $51.32	Professional		$50.37	$50.37	$51.32
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $47.51 / $47.51 / $555.00	Facility		$47.51	$47.51	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $50.37 / $86.01	Professional		$24.00	$50.37	$86.01
United Facility/Professional Professional Modifier Low / Median / High Price $50.37 / $53.39 / $75.51	Professional		$50.37	$53.39	$75.51
Univera Facility/Professional Facility Modifier Low / Median / High Price $51.32 / $51.32 / $51.32	Facility		$51.32	$51.32	$51.32
Univera Facility/Professional Professional Modifier Low / Median / High Price $26.67 / $50.37 / $51.32	Professional		$26.67	$50.37	$51.32