Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $64.57 / $1,288.25	Facility		$20.89	$64.57	$1,288.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $38.90 / $707.95	Professional		$15.85	$38.90	$707.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $20.89	Professional		$20.89	$20.89	$20.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $17.78 / $104.71	Professional		$12.30	$17.78	$104.71
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $31.62 / $31.62	Facility		$13.18	$31.62	$31.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $31.62 / $31.62	Professional		$16.22	$31.62	$31.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $58.88 / $89.13	Facility		$48.98	$58.88	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $35.48 / $128.82	Professional		$15.49	$35.48	$128.82
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Facility		$28.84	$28.84	$28.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $19.05 / $36.31	Professional		$17.78	$19.05	$36.31
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $20.89 / $40.74	Professional		$19.05	$20.89	$40.74
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $23.44 / $38.90	Professional		$23.44	$23.44	$38.90
United Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $16.22 / $44.67	Professional		$12.02	$16.22	$44.67
Univera Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $20.89 / $47.86	Professional		$19.05	$20.89	$47.86