Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.75 / $57.21 / $105.89	Facility		$44.75	$57.21	$105.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.75 / $63.39 / $82.88	Professional		$44.75	$63.39	$82.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $131.44 / $134.08 / $262.89	Facility		$131.44	$134.08	$262.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.53 / $74.53 / $206.44	Professional		$74.53	$74.53	$206.44
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $101.85 / $109.52 / $109.52	Facility		$101.85	$109.52	$109.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $109.52 / $109.52 / $109.52	Professional		$109.52	$109.52	$109.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.77 / $79.77 / $79.77	Facility		$79.77	$79.77	$79.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.23 / $58.23 / $79.77	Professional		$58.23	$58.23	$79.77
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $131.44 / $294.00 / $332.00	Facility		$131.44	$294.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $67.88 / $98.59 / $236.61	Professional		$67.88	$98.59	$236.61
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.26 / $26.26 / $26.26	Facility		$26.26	$26.26	$26.26
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.26 / $79.03 / $94.27	Professional		$26.26	$79.03	$94.27
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $79.77 / $79.77 / $555.00	Facility		$79.77	$79.77	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $58.23 / $78.31 / $178.59	Professional		$58.23	$78.31	$178.59
United Facility/Professional Professional Modifier Low / Median / High Price $43.72 / $68.31 / $120.51	Professional		$43.72	$68.31	$120.51
Univera Facility/Professional Facility Modifier Low / Median / High Price $79.03 / $79.03 / $82.13	Facility		$79.03	$79.03	$82.13
Univera Facility/Professional Professional Modifier Low / Median / High Price $26.26 / $79.03 / $83.98	Professional		$26.26	$79.03	$83.98