Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $45.71 / $52,480.75	Facility		$45.71	$45.71	$52,480.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $37.15 / $58.88	Professional		$12.02	$37.15	$58.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $13.49	Professional		$13.49	$13.49	$13.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $125.89 / $194.98	Professional		$107.15	$125.89	$194.98
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $30.20 / $4,073.80	Facility		$20.89	$30.20	$4,073.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $30.20 / $51.29	Professional		$20.89	$30.20	$51.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $26.30 / $50,118.72	Facility		$26.30	$26.30	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $19.05 / $79.43	Professional		$12.88	$19.05	$79.43
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $20.42 / $45.71	Facility		$12.02	$20.42	$45.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $14.45 / $23.44	Professional		$8.32	$14.45	$23.44
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $14.45 / $26.92	Professional		$10.23	$14.45	$26.92
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $50,118.72 / $53,703.18 / $75,857.76	Facility		$50,118.72	$53,703.18	$75,857.76
United Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $85.11 / $107.15	Facility		$58.88	$85.11	$107.15
United Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $37.15 / $77.62	Professional		$12.88	$37.15	$77.62
Univera Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $10.23 / $10.23	Facility		$10.23	$10.23	$10.23
Univera Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $10.23 / $22.39	Professional		$10.23	$10.23	$22.39