Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.48 / $19.48 / $19.67	Facility		$19.48	$19.48	$19.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $19.48 / $20.26	Professional		$19.48	$19.48	$20.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $19.48 / $30.00	Professional		$19.48	$19.48	$30.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $19.48 / $19.48 / $20.45	Facility		$19.48	$19.48	$20.45
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $19.48 / $19.48	Professional		$19.48	$19.48	$19.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.38 / $19.44 / $85.00	Facility		$18.38	$19.44	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $19.48 / $19.48	Professional		$19.48	$19.48	$19.48
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $19.48 / $27.57 / $332.00	Facility		$19.48	$27.57	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $19.48 / $24.97	Professional		$19.48	$19.48	$24.97
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.48 / $19.48 / $20.21	Facility		$19.48	$19.48	$20.21
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $20.21 / $20.21	Professional		$19.48	$20.21	$20.21
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $18.38 / $20.02 / $597.00	Facility		$18.38	$20.02	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $19.48 / $21.13	Professional		$19.48	$19.48	$21.13
United Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $19.48 / $30.00	Professional		$19.48	$19.48	$30.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $20.21 / $20.21 / $20.21	Facility		$20.21	$20.21	$20.21
Univera Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $20.21 / $20.21	Professional		$19.48	$20.21	$20.21