Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.57 / $31.11 / $43.80	Facility		$21.57	$31.11	$43.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.57 / $25.25 / $35.11	Professional		$21.57	$25.25	$35.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.86 / $21.15 / $24.52	Professional		$20.86	$21.15	$24.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.92 / $24.67 / $44.23	Professional		$19.92	$24.67	$44.23
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $35.34 / $35.34 / $35.34	Facility		$35.34	$35.34	$35.34
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $35.34 / $35.34 / $35.34	Professional		$35.34	$35.34	$35.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.80 / $27.80 / $128.25	Facility		$27.80	$27.80	$128.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.53 / $35.22 / $75.53	Professional		$24.53	$35.22	$75.53
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $37.65 / $332.00	Facility		$20.00	$37.65	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $24.85 / $32.31 / $49.52	Professional		$24.85	$32.31	$49.52
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.82 / $22.82 / $22.82	Facility		$22.82	$22.82	$22.82
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.96 / $30.29 / $51.78	Professional		$19.96	$30.29	$51.78
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $27.80 / $128.25 / $597.00	Facility		$27.80	$128.25	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $25.76 / $34.58 / $68.11	Professional		$25.76	$34.58	$68.11
United Facility/Professional Facility Modifier Low / Median / High Price $23.29 / $23.29 / $25.62	Facility		$23.29	$23.29	$25.62
United Facility/Professional Professional Modifier Low / Median / High Price $20.78 / $27.60 / $56.43	Professional		$20.78	$27.60	$56.43
Univera Facility/Professional Facility Modifier Low / Median / High Price $22.82 / $30.29 / $99.29	Facility		$22.82	$30.29	$99.29
Univera Facility/Professional Professional Modifier Low / Median / High Price $19.96 / $30.53 / $62.40	Professional		$19.96	$30.53	$62.40