Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.21 / $27.98 / $59.30	Facility		$22.21	$27.98	$59.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.54 / $22.54 / $26.43	Professional		$22.54	$22.54	$26.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.03 / $18.03 / $22.54	Facility		$18.03	$18.03	$22.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.63 / $22.54 / $33.64	Professional		$19.63	$22.54	$33.64
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $17.91 / $17.91 / $18.80	Facility		$17.91	$17.91	$18.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $17.91 / $17.91 / $17.91	Professional		$17.91	$17.91	$17.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.26 / $21.26 / $22.54	Facility		$21.26	$21.26	$22.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.54 / $22.54 / $22.54	Professional		$22.54	$22.54	$22.54
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $22.54 / $33.81 / $332.00	Facility		$22.54	$33.81	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $22.54 / $22.54 / $27.50	Professional		$22.54	$22.54	$27.50
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.54 / $22.54 / $22.97	Facility		$22.54	$22.54	$22.97
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.54 / $22.97 / $22.97	Professional		$22.54	$22.97	$22.97
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $24.43 / $24.43 / $24.43	Professional		$24.43	$24.43	$24.43
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $21.26 / $22.19 / $555.00	Facility		$21.26	$22.19	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $22.54 / $22.54 / $25.52	Professional		$22.54	$22.54	$25.52
United Facility/Professional Professional Modifier Low / Median / High Price $22.19 / $23.82 / $30.37	Professional		$22.19	$23.82	$30.37
Univera Facility/Professional Facility Modifier Low / Median / High Price $22.97 / $22.97 / $22.97	Facility		$22.97	$22.97	$22.97
Univera Facility/Professional Professional Modifier Low / Median / High Price $22.54 / $22.97 / $22.97	Professional		$22.54	$22.97	$22.97