Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.41 / $65.41 / $66.06	Facility		$65.41	$65.41	$66.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.41 / $65.41 / $68.02	Professional		$65.41	$65.41	$68.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.87 / $65.41 / $90.25	Professional		$42.87	$65.41	$90.25
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $42.70 / $42.70 / $44.84	Facility		$42.70	$42.70	$44.84
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $42.70 / $42.70 / $42.70	Professional		$42.70	$42.70	$42.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.91 / $61.70 / $85.00	Facility		$45.91	$61.70	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.40 / $65.40 / $76.09	Professional		$65.40	$65.40	$76.09
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $65.40 / $92.55 / $332.00	Facility		$65.40	$92.55	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $65.41 / $65.41 / $79.79	Professional		$65.41	$65.41	$79.79
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $65.41 / $65.41 / $67.87	Facility		$65.41	$65.41	$67.87
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.41 / $67.87 / $67.87	Professional		$65.41	$67.87	$67.87
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $45.91 / $61.70 / $597.00	Facility		$45.91	$61.70	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $65.40 / $65.40 / $83.07	Professional		$65.40	$65.40	$83.07
United Facility/Professional Professional Modifier Low / Median / High Price $65.41 / $65.41 / $94.75	Professional		$65.41	$65.41	$94.75
Univera Facility/Professional Facility Modifier Low / Median / High Price $36.21 / $67.87 / $67.87	Facility		$36.21	$67.87	$67.87
Univera Facility/Professional Professional Modifier Low / Median / High Price $65.41 / $67.87 / $67.87	Professional		$65.41	$67.87	$67.87