Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.58 / $27.92 / $51.68	Facility		$23.58	$27.92	$51.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.58 / $36.11 / $41.31	Professional		$23.58	$36.11	$41.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.15 / $65.43 / $128.30	Facility		$64.15	$65.43	$128.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.20 / $39.20 / $104.46	Professional		$39.20	$39.20	$104.46
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $49.71 / $53.45 / $53.45	Facility		$49.71	$53.45	$53.45
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $53.45 / $53.45 / $53.45	Professional		$53.45	$53.45	$53.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.15 / $48.15 / $48.15	Facility		$48.15	$48.15	$48.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.15 / $35.15 / $48.15	Professional		$35.15	$35.15	$48.15
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $64.15 / $144.34 / $332.00	Facility		$64.15	$144.34	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $33.13 / $48.11 / $115.47	Professional		$33.13	$48.11	$115.47
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.25 / $25.25 / $25.25	Facility		$25.25	$25.25	$25.25
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.25 / $37.11 / $46.01	Professional		$25.25	$37.11	$46.01
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $48.15 / $48.15 / $555.00	Facility		$48.15	$48.15	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $35.15 / $38.22 / $95.58	Professional		$35.15	$38.22	$95.58
United Facility/Professional Professional Modifier Low / Median / High Price $21.34 / $39.15 / $58.67	Professional		$21.34	$39.15	$58.67
Univera Facility/Professional Facility Modifier Low / Median / High Price $37.11 / $37.11 / $40.08	Facility		$37.11	$37.11	$40.08
Univera Facility/Professional Professional Modifier Low / Median / High Price $25.25 / $37.11 / $39.42	Professional		$25.25	$37.11	$39.42