Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.45 / $54.62 / $113.60	Professional		$48.45	$54.62	$113.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $67.75 / $67.75 / $93.69	Professional		$67.75	$67.75	$93.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.22 / $79.25 / $210.35	Professional		$27.22	$79.25	$210.35
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $48.55 / $95.29 / $95.29	Professional		$48.55	$95.29	$95.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.57 / $94.32 / $212.90	Professional		$45.57	$94.32	$212.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $49.90 / $76.83 / $139.04	Professional		$49.90	$76.83	$139.04
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.89 / $68.04 / $133.78	Professional		$29.89	$68.04	$133.78
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $23.40 / $23.40 / $24.57	Professional		$23.40	$23.40	$24.57
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $47.28 / $78.59 / $212.90	Professional		$47.28	$78.59	$212.90
United Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $50.21 / $107.14	Professional		$37.15	$50.21	$107.14
Univera Facility/Professional Professional Modifier Low / Median / High Price $29.89 / $73.78 / $196.05	Professional		$29.89	$73.78	$196.05