Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $93.33 / $93.33	Facility		$91.20	$93.33	$93.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $83.18 / $138.04	Professional		$38.90	$83.18	$138.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $251.19 / $398.11	Professional		$213.80	$251.19	$398.11
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $60.26 / $4,073.80	Facility		$41.69	$60.26	$4,073.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $60.26 / $102.33	Professional		$41.69	$60.26	$102.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $50,118.72	Facility		$70.79	$70.79	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $66.07 / $213.80	Professional		$42.66	$66.07	$213.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Professional		$70.79	$70.79	$70.79
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $66.07 / $144.54	Professional		$53.70	$66.07	$144.54
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 $1,412.54 / $4,168.69 / $9,120.11	Facility		$1,412.54	$4,168.69	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $74.13 / $151.36	Professional		$48.98	$74.13	$151.36
Univera Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Facility		$56.23	$56.23	$56.23
Univera Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $56.23 / $138.04	Professional		$53.70	$56.23	$138.04