Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.33 / $31.26 / $122.45	Facility		$6.33	$31.26	$122.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.69 / $7.21 / $13.78	Professional		$4.69	$7.21	$13.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.14 / $11.14 / $11.14	Professional		$11.14	$11.14	$11.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.72 / $7.72 / $21.66	Professional		$7.72	$7.72	$21.66
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $11.29 / $12.14 / $12.14	Facility		$11.29	$12.14	$12.14
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $12.14 / $12.14 / $12.14	Professional		$12.14	$12.14	$12.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.40 / $10.29 / $10.29	Facility		$5.40	$10.29	$10.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.75 / $8.75 / $12.19	Professional		$8.75	$8.75	$12.19
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $14.57 / $32.78 / $332.00	Facility		$14.57	$32.78	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.52 / $12.22 / $26.66	Professional		$7.52	$12.22	$26.66
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.35 / $1.35 / $1.35	Facility		$1.35	$1.35	$1.35
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $8.42 / $10.44	Professional		$1.35	$8.42	$10.44
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $5.40 / $10.29 / $555.00	Facility		$5.40	$10.29	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $8.75 / $10.06 / $22.06	Professional		$8.75	$10.06	$22.06
United Facility/Professional Professional Modifier Low / Median / High Price $4.84 / $8.23 / $13.35	Professional		$4.84	$8.23	$13.35
Univera Facility/Professional Facility Modifier Low / Median / High Price $8.42 / $8.42 / $10.42	Facility		$8.42	$8.42	$10.42
Univera Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $8.42 / $8.94	Professional		$1.35	$8.42	$8.94