Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $52.48 / $77.62	Facility		$43.65	$52.48	$77.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $42.66 / $75.86	Professional		$28.84	$42.66	$75.86
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $7.76 / $36.31 / $44.67	Professional	25	$7.76	$36.31	$44.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $36.31 / $39.81	Professional		$30.90	$36.31	$39.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.79 / $36.31 / $79.43	Professional		$0.79	$36.31	$79.43
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Facility		$61.66	$61.66	$61.66
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Professional		$61.66	$61.66	$61.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $53,703.18	Facility		$61.66	$61.66	$53,703.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $67.61 / $186.21	Professional		$28.18	$67.61	$186.21
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $43.65 / $102.33	Facility		$25.12	$43.65	$102.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $74.13 / $138.04	Professional		$47.86	$74.13	$138.04
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $37.15 / $37.15	Facility		$33.11	$37.15	$37.15
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $37.15 / $44.67	Professional		$15.49	$37.15	$44.67
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $50,118.72 / $75,857.76	Facility		$33.88	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Professional		$38.90	$38.90	$38.90
Optum Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $54.95 / $91.20	Professional		$42.66	$54.95	$91.20
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $48.98 / $97.72	Professional		$30.90	$48.98	$97.72
Univera Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $37.15 / $87.10	Facility		$21.88	$37.15	$87.10
Univera Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $33.11 / $114.82	Professional		$15.49	$33.11	$114.82