Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.26 / $60.41 / $111.83	Facility		$47.26	$60.41	$111.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.26 / $60.41 / $87.52	Professional		$47.26	$60.41	$87.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.83 / $141.61 / $277.66	Facility		$138.83	$141.61	$277.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.80 / $82.80 / $220.66	Professional		$82.80	$82.80	$220.66
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $107.56 / $115.66 / $115.66	Facility		$107.56	$115.66	$115.66
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $115.66 / $115.66 / $115.66	Professional		$115.66	$115.66	$115.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.36 / $112.36 / $112.36	Facility		$112.36	$112.36	$112.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.02 / $82.02 / $112.36	Professional		$82.02	$82.02	$112.36
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $138.83 / $294.00 / $332.00	Facility		$138.83	$294.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $71.68 / $100.31 / $249.89	Professional		$71.68	$100.31	$249.89
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.78 / $27.78 / $27.78	Facility		$27.78	$27.78	$27.78
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.78 / $83.45 / $99.55	Professional		$27.78	$83.45	$99.55
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $112.36 / $112.36 / $555.00	Facility		$112.36	$112.36	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $82.02 / $82.69 / $206.86	Professional		$82.02	$82.69	$206.86
United Facility/Professional Professional Modifier Low / Median / High Price $46.17 / $73.06 / $127.27	Professional		$46.17	$73.06	$127.27
Univera Facility/Professional Facility Modifier Low / Median / High Price $83.45 / $83.45 / $86.72	Facility		$83.45	$83.45	$86.72
Univera Facility/Professional Professional Modifier Low / Median / High Price $27.78 / $83.45 / $88.67	Professional		$27.78	$83.45	$88.67