Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.81 / $24.36 / $32.83	Facility		$15.81	$24.36	$32.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.81 / $19.80 / $45.76	Professional		$15.81	$19.80	$45.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.02 / $17.02 / $17.02	Professional		$17.02	$17.02	$17.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.51 / $18.02 / $40.47	Professional		$14.51	$18.02	$40.47
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $26.06 / $26.06 / $26.06	Facility		$26.06	$26.06	$26.06
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $26.06 / $26.06 / $26.06	Professional		$26.06	$26.06	$26.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.45 / $20.45 / $20.45	Facility		$20.45	$20.45	$20.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.34 / $27.73 / $68.70	Professional		$17.34	$27.73	$68.70
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $13.86 / $27.77 / $319.00	Facility		$13.86	$27.77	$319.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $19.86 / $25.53 / $36.94	Professional		$19.86	$25.53	$36.94
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.82 / $16.82 / $16.82	Facility		$16.82	$16.82	$16.82
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.50 / $22.55 / $42.42	Professional		$15.50	$22.55	$42.42
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $20.45 / $555.00 / $74,999.25	Facility		$20.45	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $18.63 / $26.78 / $74.45	Professional		$18.63	$26.78	$74.45
United Facility/Professional Professional Modifier Low / Median / High Price $13.69 / $20.16 / $41.10	Professional		$13.69	$20.16	$41.10
Univera Facility/Professional Facility Modifier Low / Median / High Price $24.92 / $24.92 / $72.87	Facility		$24.92	$24.92	$72.87
Univera Facility/Professional Professional Modifier Low / Median / High Price $16.82 / $24.92 / $46.01	Professional		$16.82	$24.92	$46.01