Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.92 / $62.81 / $98.41	Facility		$41.92	$62.81	$98.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.92 / $47.87 / $79.70	Professional		$41.92	$47.87	$79.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.92 / $29.92 / $29.92	Professional		$29.92	$29.92	$29.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.79 / $44.98 / $66.08	Professional		$0.79	$44.98	$66.08
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $78.91 / $78.91 / $78.91	Facility		$78.91	$78.91	$78.91
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $78.91 / $78.91 / $78.91	Professional		$78.91	$78.91	$78.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.56 / $61.56 / $61.56	Facility		$61.56	$61.56	$61.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.98 / $67.72 / $160.25	Professional		$40.98	$67.72	$160.25
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $26.96 / $65.26 / $332.00	Facility		$26.96	$65.26	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $58.29 / $84.34 / $123.57	Professional		$58.29	$84.34	$123.57
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.12 / $50.20 / $52.91	Facility		$44.12	$50.20	$52.91
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.12 / $56.23 / $94.12	Professional		$44.12	$56.23	$94.12
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $61.56 / $61.56 / $74,999.25	Facility		$61.56	$61.56	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $37.83 / $70.00 / $147.91	Professional		$37.83	$70.00	$147.91
United Facility/Professional Professional Modifier Low / Median / High Price $43.47 / $64.29 / $130.02	Professional		$43.47	$64.29	$130.02
Univera Facility/Professional Facility Modifier Low / Median / High Price $50.20 / $51.91 / $62.29	Facility		$50.20	$51.91	$62.29
Univera Facility/Professional Professional Modifier Low / Median / High Price $49.93 / $62.29 / $137.15	Professional		$49.93	$62.29	$137.15