Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.42 / $23.63 / $430.98	Facility		$8.42	$23.63	$430.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.35 / $15.40 / $46.89	Professional		$10.35	$15.40	$46.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.81 / $22.81 / $28.26	Professional		$14.81	$22.81	$28.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.89 / $17.52 / $28.93	Professional		$14.89	$17.52	$28.93
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $21.95 / $21.95 / $21.95	Facility		$21.95	$21.95	$21.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $21.95 / $21.95 / $21.95	Professional		$21.95	$21.95	$21.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.71 / $17.71 / $17.71	Facility		$17.71	$17.71	$17.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.99 / $13.99 / $13.99	Professional		$13.99	$13.99	$13.99
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $24.37 / $35.00 / $332.00	Facility		$24.37	$35.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $15.64 / $21.20 / $32.04	Professional		$15.64	$21.20	$32.04
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.09 / $14.77 / $20.68	Facility		$12.09	$14.77	$20.68
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.09 / $19.63 / $33.52	Professional		$12.09	$19.63	$33.52
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $12.51 / $12.51 / $12.51	Professional		$12.51	$12.51	$12.51
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $17.71 / $17.71 / $17.71	Facility		$17.71	$17.71	$17.71
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $13.99 / $16.61 / $34.01	Professional		$13.99	$16.61	$34.01
United Facility/Professional Professional Modifier Low / Median / High Price $13.50 / $17.52 / $37.01	Professional		$13.50	$17.52	$37.01
Univera Facility/Professional Facility Modifier Low / Median / High Price $14.77 / $17.05 / $20.68	Facility		$14.77	$17.05	$20.68
Univera Facility/Professional Professional Modifier Low / Median / High Price $12.92 / $17.05 / $37.47	Professional		$12.92	$17.05	$37.47