Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.72 / $37.99 / $70.31	Facility		$29.72	$37.99	$70.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.72 / $46.09 / $55.04	Professional		$29.72	$46.09	$55.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.29 / $89.04 / $174.58	Facility		$87.29	$89.04	$174.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.51 / $52.51 / $139.93	Professional		$52.51	$52.51	$139.93
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $67.64 / $72.73 / $72.73	Facility		$67.64	$72.73	$72.73
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $72.73 / $72.73 / $72.73	Professional		$72.73	$72.73	$72.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.62 / $64.62 / $64.62	Facility		$64.62	$64.62	$64.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.17 / $47.17 / $64.62	Professional		$47.17	$47.17	$64.62
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $87.29 / $196.40 / $332.00	Facility		$87.29	$196.40	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $45.07 / $65.47 / $157.12	Professional		$45.07	$65.47	$157.12
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.40 / $40.40 / $40.40	Facility		$40.40	$40.40	$40.40
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.40 / $52.48 / $62.60	Professional		$40.40	$52.48	$62.60
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $64.62 / $64.62 / $555.00	Facility		$64.62	$64.62	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $47.17 / $52.00 / $130.06	Professional		$47.17	$52.00	$130.06
United Facility/Professional Professional Modifier Low / Median / High Price $29.03 / $49.57 / $87.29	Professional		$29.03	$49.57	$87.29
Univera Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $54.54	Facility		$52.48	$52.48	$54.54
Univera Facility/Professional Professional Modifier Low / Median / High Price $40.40 / $52.48 / $55.76	Professional		$40.40	$52.48	$55.76