Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.88 / $54.81 / $101.46	Facility		$42.88	$54.81	$101.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.88 / $54.81 / $79.40	Professional		$42.88	$54.81	$79.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.94 / $128.46 / $251.88	Facility		$125.94	$128.46	$251.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.20 / $57.20 / $183.96	Professional		$57.20	$57.20	$183.96
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $97.58 / $104.93 / $104.93	Facility		$97.58	$104.93	$104.93
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $104.93 / $104.93 / $104.93	Professional		$104.93	$104.93	$104.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.81 / $61.81 / $61.81	Facility		$61.81	$61.81	$61.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.12 / $45.12 / $61.81	Professional		$45.12	$45.12	$61.81
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $125.94 / $283.37 / $332.00	Facility		$125.94	$283.37	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $65.04 / $90.68 / $226.69	Professional		$65.04	$90.68	$226.69
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.60 / $60.60 / $60.60	Facility		$60.60	$60.60	$60.60
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.60 / $75.72 / $90.32	Professional		$60.60	$75.72	$90.32
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $61.81 / $61.81 / $555.00	Facility		$61.81	$61.81	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $45.12 / $61.81 / $149.84	Professional		$45.12	$61.81	$149.84
United Facility/Professional Professional Modifier Low / Median / High Price $41.89 / $63.84 / $108.56	Professional		$41.89	$63.84	$108.56
Univera Facility/Professional Facility Modifier Low / Median / High Price $75.72 / $75.72 / $78.68	Facility		$75.72	$75.72	$78.68
Univera Facility/Professional Professional Modifier Low / Median / High Price $60.60 / $75.72 / $80.45	Professional		$60.60	$75.72	$80.45