Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.55 / $48.03 / $72.05	Facility		$44.55	$48.03	$72.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.43 / $44.55 / $49.83	Professional		$38.43	$44.55	$49.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.41 / $46.41 / $52.39	Professional		$46.41	$46.41	$52.39
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $62.96 / $62.96 / $69.26	Facility		$62.96	$62.96	$69.26
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $62.96 / $62.96 / $62.96	Professional		$62.96	$62.96	$62.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.78 / $8.01 / $47.34	Facility		$7.78	$8.01	$47.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.34 / $47.34 / $47.34	Professional		$47.34	$47.34	$47.34
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $68.68 / $68.68 / $118.82	Facility		$68.68	$68.68	$118.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $72.06 / $72.06 / $82.88	Professional		$72.06	$72.06	$82.88
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.24 / $51.24 / $72.06	Facility		$51.24	$51.24	$72.06
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.24 / $51.24 / $72.06	Professional		$51.24	$51.24	$72.06
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $8.01 / $8.01 / $597.00	Facility		$8.01	$8.01	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $47.34 / $47.34 / $76.70	Professional		$47.34	$47.34	$76.70
United Facility/Professional Professional Modifier Low / Median / High Price $46.41 / $46.41 / $72.70	Professional		$46.41	$46.41	$72.70
Univera Facility/Professional Facility Modifier Low / Median / High Price $72.06 / $72.06 / $72.06	Facility		$72.06	$72.06	$72.06
Univera Facility/Professional Professional Modifier Low / Median / High Price $13.90 / $51.24 / $72.06	Professional		$13.90	$51.24	$72.06