Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.76 / $20.69 / $36.27	Facility		$8.76	$20.69	$36.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.07 / $9.65 / $30.06	Professional		$7.07	$9.65	$30.06
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $18.64 / $18.64 / $18.64	Professional	25	$18.64	$18.64	$18.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.14 / $20.04 / $21.67	Professional		$11.14	$20.04	$21.67
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $13.74 / $13.74 / $13.74	Facility		$13.74	$13.74	$13.74
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $13.74 / $13.74 / $13.74	Professional		$13.74	$13.74	$13.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.12 / $23.12 / $23.12	Facility		$23.12	$23.12	$23.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.59 / $16.25 / $38.79	Professional		$8.59	$16.25	$38.79
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $6.00 / $24.36 / $332.00	Facility		$6.00	$24.36	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $22.23 / $29.16 / $42.04	Professional		$22.23	$29.16	$42.04
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.98 / $18.96 / $22.56	Facility		$17.98	$18.96	$22.56
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.57 / $22.19 / $42.52	Professional		$11.57	$22.19	$42.52
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $23.12 / $23.12 / $23.12	Facility		$23.12	$23.12	$23.12
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $9.05 / $15.24 / $36.60	Professional		$9.05	$15.24	$36.60
Optum Facility/Professional Professional Modifier Low / Median / High Price $10.11 / $12.28 / $20.88	Professional		$10.11	$12.28	$20.88
United Facility/Professional Professional Modifier Low / Median / High Price $8.30 / $12.70 / $27.74	Professional		$8.30	$12.70	$27.74
Univera Facility/Professional Facility Modifier Low / Median / High Price $13.30 / $18.96 / $22.56	Facility		$13.30	$18.96	$22.56
Univera Facility/Professional Professional Modifier Low / Median / High Price $17.89 / $22.67 / $49.42	Professional		$17.89	$22.67	$49.42