Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.09 / $26.94 / $27.21	Facility		$26.09	$26.94	$27.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.94 / $26.94 / $28.29	Professional		$26.94	$26.94	$28.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.02 / $26.94 / $51.19	Professional		$26.02	$26.94	$51.19
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $57.82 / $57.82 / $63.60	Facility		$57.82	$57.82	$63.60
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $57.82 / $57.82 / $57.82	Professional		$57.82	$57.82	$57.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.42 / $26.94 / $85.00	Facility		$25.42	$26.94	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.94 / $26.94 / $29.23	Professional		$26.94	$26.94	$29.23
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $26.94 / $38.13 / $332.00	Facility		$26.94	$38.13	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $26.94 / $26.94 / $33.71	Professional		$26.94	$26.94	$33.71
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.94 / $26.94 / $27.96	Facility		$26.94	$26.94	$27.96
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.94 / $27.96 / $27.96	Professional		$26.94	$27.96	$27.96
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $25.42 / $32.21 / $597.00	Facility		$25.42	$32.21	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $26.94 / $26.94 / $36.74	Professional		$26.94	$26.94	$36.74
United Facility/Professional Professional Modifier Low / Median / High Price $26.94 / $26.94 / $40.40	Professional		$26.94	$26.94	$40.40
Univera Facility/Professional Facility Modifier Low / Median / High Price $12.54 / $27.96 / $27.96	Facility		$12.54	$27.96	$27.96
Univera Facility/Professional Professional Modifier Low / Median / High Price $26.94 / $27.96 / $27.96	Professional		$26.94	$27.96	$27.96