Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.90 / $35.65 / $66.01	Facility		$27.90	$35.65	$66.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.90 / $42.32 / $51.67	Professional		$27.90	$42.32	$51.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.95 / $83.59 / $163.90	Facility		$81.95	$83.59	$163.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.68 / $45.68 / $127.00	Professional		$45.68	$45.68	$127.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $68.28 / $68.28	Facility		$63.50	$68.28	$68.28
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $68.28 / $68.28 / $68.28	Professional		$68.28	$68.28	$68.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.54 / $54.54 / $54.54	Facility		$54.54	$54.54	$54.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $54.54	Professional		$39.81	$39.81	$54.54
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $81.95 / $184.39 / $332.00	Facility		$81.95	$184.39	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $48.35 / $62.14 / $147.51	Professional		$48.35	$62.14	$147.51
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $62.14 / $62.14 / $62.14	Facility		$62.14	$62.14	$62.14
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.27 / $52.34 / $68.28	Professional		$49.27	$52.34	$68.28
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $54.54 / $54.54 / $555.00	Facility		$54.54	$54.54	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $48.80 / $122.11	Professional		$39.81	$48.80	$122.11
United Facility/Professional Professional Modifier Low / Median / High Price $27.26 / $42.49 / $74.95	Professional		$27.26	$42.49	$74.95
Univera Facility/Professional Facility Modifier Low / Median / High Price $49.27 / $49.27 / $51.20	Facility		$49.27	$49.27	$51.20
Univera Facility/Professional Professional Modifier Low / Median / High Price $49.27 / $49.27 / $62.14	Professional		$49.27	$49.27	$62.14