Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $60.26 / $104.71	Professional		$26.92	$60.26	$104.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Professional		$70.79	$70.79	$70.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $77.62 / $177.83	Professional		$36.31	$77.62	$177.83
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Facility		$46.77	$46.77	$46.77
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $120.23	Professional		$46.77	$46.77	$120.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Facility		$51.29	$51.29	$51.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $72.44 / $199.53	Professional		$28.84	$72.44	$199.53
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $102.33 / $169.82	Professional		$61.66	$102.33	$169.82
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $79.43 / $147.91	Professional		$58.88	$79.43	$147.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $100.00 / $138.04	Professional		$79.43	$100.00	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $51.29 / $102.33	Professional		$21.38	$51.29	$102.33
Univera Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Univera Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $75.86 / $128.82	Professional		$61.66	$75.86	$128.82