Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.93 / $43.91 / $60.79	Facility		$26.93	$43.91	$60.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.44 / $26.25 / $32.11	Professional		$20.44	$26.25	$32.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $27.14 / $27.14 / $27.14	Professional		$27.14	$27.14	$27.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.01 / $27.14 / $71.27	Professional		$15.01	$27.14	$71.27
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $15.97 / $26.61 / $26.61	Facility		$15.97	$26.61	$26.61
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $19.43 / $26.61 / $26.61	Professional		$19.43	$26.61	$26.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $61.77 / $64.70	Facility		$53.70	$61.77	$64.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.75 / $42.05 / $85.56	Professional		$18.75	$42.05	$85.56
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $19.00 / $19.00 / $169.21	Facility		$19.00	$19.00	$169.21
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $18.63 / $26.61 / $48.48	Professional		$18.63	$26.61	$48.48
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.28 / $26.61 / $48.25	Professional		$25.28	$26.61	$48.25
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $26.61 / $26.61 / $31.93	Professional		$26.61	$26.61	$31.93
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $61.77 / $61.77 / $64.70	Facility		$61.77	$61.77	$64.70
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $21.26 / $37.96 / $82.62	Professional		$21.26	$37.96	$82.62
United Facility/Professional Professional Modifier Low / Median / High Price $12.40 / $17.30 / $50.30	Professional		$12.40	$17.30	$50.30
Univera Facility/Professional Professional Modifier Low / Median / High Price $25.28 / $28.70 / $70.70	Professional		$25.28	$28.70	$70.70