Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.39 / $82.41 / $11,118.92	Facility		$63.39	$82.41	$11,118.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.10 / $62.71 / $76.70	Professional		$62.10	$62.71	$76.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.68 / $49.68 / $62.10	Facility		$49.68	$49.68	$62.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.10 / $62.10 / $68.44	Professional		$62.10	$62.10	$68.44
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $71.65 / $71.65 / $75.23	Facility		$71.65	$71.65	$75.23
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $71.65 / $71.65 / $71.65	Professional		$71.65	$71.65	$71.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.58 / $75.73 / $78.84	Facility		$58.58	$75.73	$78.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.10 / $62.10 / $64.44	Professional		$62.10	$62.10	$64.44
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $67.37 / $96.66 / $332.00	Facility		$67.37	$96.66	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $64.44 / $67.37 / $78.84	Professional		$64.44	$67.37	$78.84
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $62.10 / $62.10 / $64.44	Facility		$62.10	$62.10	$64.44
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.10 / $64.44 / $64.44	Professional		$62.10	$64.44	$64.44
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $58.58 / $78.01 / $96.86	Facility		$58.58	$78.01	$96.86
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $62.10 / $62.10 / $73.23	Professional		$62.10	$62.10	$73.23
United Facility/Professional Professional Modifier Low / Median / High Price $59.00 / $65.09 / $86.05	Professional		$59.00	$65.09	$86.05
Univera Facility/Professional Facility Modifier Low / Median / High Price $64.44 / $64.44 / $64.44	Facility		$64.44	$64.44	$64.44
Univera Facility/Professional Professional Modifier Low / Median / High Price $62.10 / $64.44 / $64.44	Professional		$62.10	$64.44	$64.44