Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.84 / $50.93 / $94.28	Facility		$39.84	$50.93	$94.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.84 / $51.13 / $73.79	Professional		$39.84	$51.13	$73.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $117.04 / $119.38 / $234.08	Facility		$117.04	$119.38	$234.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.03 / $63.03 / $181.38	Professional		$63.03	$63.03	$181.38
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $90.68 / $97.51 / $97.51	Facility		$90.68	$97.51	$97.51
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $97.51 / $97.51 / $97.51	Professional		$97.51	$97.51	$97.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.70 / $75.70 / $75.70	Facility		$75.70	$75.70	$75.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.27 / $55.27 / $75.70	Professional		$55.27	$55.27	$75.70
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $117.04 / $263.33 / $332.00	Facility		$117.04	$263.33	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $60.43 / $86.61 / $210.67	Professional		$60.43	$86.61	$210.67
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.30 / $30.30 / $30.30	Facility		$30.30	$30.30	$30.30
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.30 / $70.36 / $83.93	Professional		$30.30	$70.36	$83.93
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $75.70 / $75.70 / $555.00	Facility		$75.70	$75.70	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $55.27 / $71.73 / $181.41	Professional		$55.27	$71.73	$181.41
United Facility/Professional Professional Modifier Low / Median / High Price $38.93 / $61.51 / $105.34	Professional		$38.93	$61.51	$105.34
Univera Facility/Professional Facility Modifier Low / Median / High Price $70.36 / $70.36 / $135.53	Facility		$70.36	$70.36	$135.53
Univera Facility/Professional Professional Modifier Low / Median / High Price $30.30 / $70.36 / $74.76	Professional		$30.30	$70.36	$74.76