Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.01 / $37.09 / $68.65	Facility		$29.01	$37.09	$68.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.01 / $41.55 / $53.73	Professional		$29.01	$41.55	$53.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.23 / $86.93 / $170.46	Facility		$85.23	$86.93	$170.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.74 / $51.74 / $137.88	Professional		$51.74	$51.74	$137.88
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $66.04 / $71.01 / $71.01	Facility		$66.04	$71.01	$71.01
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $71.01 / $71.01 / $71.01	Professional		$71.01	$71.01	$71.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.02 / $71.02 / $71.02	Facility		$71.02	$71.02	$71.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.84 / $51.84 / $71.02	Professional		$51.84	$51.84	$71.02
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $85.23 / $191.77 / $332.00	Facility		$85.23	$191.77	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $44.01 / $63.92 / $153.41	Professional		$44.01	$63.92	$153.41
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.35 / $35.35 / $35.35	Facility		$35.35	$35.35	$35.35
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.35 / $51.24 / $61.12	Professional		$35.35	$51.24	$61.12
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $71.02 / $71.02 / $555.00	Facility		$71.02	$71.02	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $50.78 / $51.84 / $131.63	Professional		$50.78	$51.84	$131.63
United Facility/Professional Professional Modifier Low / Median / High Price $28.34 / $45.79 / $77.95	Professional		$28.34	$45.79	$77.95
Univera Facility/Professional Facility Modifier Low / Median / High Price $51.24 / $51.24 / $53.25	Facility		$51.24	$51.24	$53.25
Univera Facility/Professional Professional Modifier Low / Median / High Price $35.35 / $51.24 / $54.44	Professional		$35.35	$51.24	$54.44