Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.42 / $42.37 / $248.00	Facility		$30.42	$42.37	$248.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.98 / $28.16 / $47.25	Professional		$21.98	$28.16	$47.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.80 / $25.80 / $25.80	Professional		$25.80	$25.80	$25.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $34.54 / $65.91	Professional		$0.80	$34.54	$65.91
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $34.57 / $34.57 / $34.57	Facility		$34.57	$34.57	$34.57
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $34.57 / $34.57 / $36.47	Professional		$34.57	$34.57	$36.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.15 / $38.15 / $60.00	Facility		$38.15	$38.15	$60.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.82 / $28.16 / $80.03	Professional		$18.82	$28.16	$80.03
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $863.00 / $3,503.78	Facility		$319.00	$863.00	$3,503.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $26.06 / $36.47 / $51.21	Professional		$26.06	$36.47	$51.21
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.40 / $23.40 / $23.60	Facility		$23.40	$23.40	$23.60
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.65 / $28.56 / $44.79	Professional		$20.65	$28.56	$44.79
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $38.15 / $38.15 / $555.00	Facility		$38.15	$38.15	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $32.54 / $77.01	Professional		$21.00	$32.54	$77.01
Optum Facility/Professional Professional Modifier Low / Median / High Price $22.29 / $25.26 / $30.76	Professional		$22.29	$25.26	$30.76
United Facility/Professional Professional Modifier Low / Median / High Price $22.29 / $29.61 / $69.18	Professional		$22.29	$29.61	$69.18
Univera Facility/Professional Facility Modifier Low / Median / High Price $23.60 / $28.39 / $28.39	Facility		$23.60	$28.39	$28.39
Univera Facility/Professional Professional Modifier Low / Median / High Price $22.77 / $30.92 / $60.01	Professional		$22.77	$30.92	$60.01