Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.32 / $48.36 / $85.36	Facility		$31.32	$48.36	$85.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.67 / $38.71 / $56.71	Professional		$28.67	$38.71	$56.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $53.79 / $53.79 / $53.79	Professional		$53.79	$53.79	$53.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.76 / $43.95 / $74.29	Professional		$31.76	$43.95	$74.29
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $49.85 / $49.85 / $49.85	Facility		$49.85	$49.85	$49.85
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $49.85 / $49.85 / $67.37	Professional		$49.85	$49.85	$67.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.43 / $47.43 / $47.43	Facility		$47.43	$47.43	$47.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.49 / $54.71 / $116.30	Professional		$27.49	$54.71	$116.30
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $21.20 / $43.46 / $332.00	Facility		$21.20	$43.46	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $58.37 / $81.95 / $123.74	Professional		$58.37	$81.95	$123.74
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.37 / $48.78 / $48.78	Facility		$28.37	$48.78	$48.78
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.85 / $54.63 / $81.51	Professional		$38.85	$54.63	$81.51
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $47.43 / $47.43 / $74,999.25	Facility		$47.43	$47.43	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $34.78 / $58.37 / $116.30	Professional		$34.78	$58.37	$116.30
United Facility/Professional Professional Modifier Low / Median / High Price $38.93 / $57.83 / $118.34	Professional		$38.93	$57.83	$118.34
Univera Facility/Professional Facility Modifier Low / Median / High Price $33.38 / $48.78 / $54.84	Facility		$33.38	$48.78	$54.84
Univera Facility/Professional Professional Modifier Low / Median / High Price $45.70 / $53.24 / $87.98	Professional		$45.70	$53.24	$87.98