Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $56.23 / $120.23	Facility		$32.36	$56.23	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $33.88 / $85.11	Professional		$22.91	$33.88	$85.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $23.44 / $25.12	Professional		$20.89	$23.44	$25.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $27.54 / $52.48	Professional		$22.91	$27.54	$52.48
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Facility		$36.31	$36.31	$36.31
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Professional		$36.31	$36.31	$36.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $50,118.72	Facility		$40.74	$40.74	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $40.74 / $114.82	Professional		$25.70	$40.74	$114.82
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $41.69 / $131.83	Facility		$30.20	$41.69	$131.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $38.02 / $54.95	Professional		$28.18	$38.02	$54.95
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $22.39 / $23.44	Facility		$22.39	$22.39	$23.44
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $30.20 / $52.48	Professional		$17.38	$30.20	$52.48
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $50,118.72 / $75,857.76	Facility		$47.86	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $37.15 / $66.07	Professional		$30.90	$37.15	$66.07
United Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $32.36 / $64.57	Professional		$23.99	$32.36	$64.57
Univera Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $22.39 / $64.57	Facility		$12.88	$22.39	$64.57
Univera Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $29.51 / $63.10	Professional		$12.88	$29.51	$63.10