Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $48.98 / $102.33	Facility		$31.62	$48.98	$102.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $38.90 / $91.20	Professional		$25.12	$38.90	$91.20
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $37.15 / $37.15 / $51.29	Professional	25	$37.15	$37.15	$51.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $45.71 / $48.98	Professional		$36.31	$45.71	$48.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $38.90 / $70.79	Professional		$30.90	$38.90	$70.79
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Facility		$39.81	$39.81	$39.81
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $52.48	Professional		$39.81	$39.81	$52.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $53,703.18	Facility		$52.48	$52.48	$53,703.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $47.86 / $97.72	Professional		$28.18	$47.86	$97.72
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $41.69 / $114.82	Facility		$32.36	$41.69	$114.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $81.28 / $112.20	Professional		$57.54	$81.28	$112.20
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $44.67 / $44.67	Facility		$28.84	$44.67	$44.67
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $52.48 / $87.10	Professional		$33.11	$52.48	$87.10
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $50,118.72 / $53,703.18 / $75,857.76	Facility		$50,118.72	$53,703.18	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $54.95 / $75.86	Professional		$41.69	$54.95	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $37.15 / $81.28	Professional		$23.44	$37.15	$81.28
Univera Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $33.88 / $54.95	Facility		$28.84	$33.88	$54.95
Univera Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $51.29 / $87.10	Professional		$28.84	$51.29	$87.10