Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $20.89 / $134.90	Facility		$12.88	$20.89	$134.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $15.14 / $20.89	Professional		$9.12	$15.14	$20.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $89.13	Professional		$75.86	$75.86	$89.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $16.60 / $28.84	Professional		$16.60	$16.60	$28.84
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $10.72 / $10.72	Facility		$10.72	$10.72	$10.72
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $10.72 / $10.72	Professional		$10.72	$10.72	$10.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $50,118.72	Facility		$30.20	$30.20	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $208.93	Professional		$16.22	$16.22	$208.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $27.54 / $138.04	Professional		$21.88	$27.54	$138.04
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $17.38 / $17.38	Facility		$17.38	$17.38	$17.38
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $18.20 / $18.20	Professional		$17.38	$18.20	$18.20
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 $24.55 / $24.55 / $24.55	Professional		$24.55	$24.55	$24.55
United Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $15.14 / $28.84	Professional		$10.23	$15.14	$28.84
Univera Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $17.38 / $39.81	Facility		$16.98	$17.38	$39.81
Univera Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $17.38 / $18.20	Professional		$16.98	$17.38	$18.20