Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $48.98 / $95.50	Facility		$42.66	$48.98	$95.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $21.88 / $30.90	Professional		$18.20	$21.88	$30.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $26.92	Professional		$26.92	$26.92	$26.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $69.18	Professional		$13.18	$13.18	$69.18
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $26.30 / $26.30	Facility		$26.30	$26.30	$26.30
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $26.30 / $26.30	Professional		$19.50	$26.30	$26.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $61.66 / $67.61	Facility		$56.23	$61.66	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $13.80 / $29.51	Professional		$13.80	$13.80	$29.51
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $38.02	Facility		$38.02	$38.02	$38.02
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $34.67 / $47.86	Professional		$27.54	$34.67	$47.86
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $33.88 / $53.70	Professional		$24.55	$33.88	$53.70
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $26.30 / $33.88	Professional		$26.30	$26.30	$33.88
United Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $15.85 / $39.81	Professional		$11.22	$15.85	$39.81
Univera Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $29.51 / $53.70	Professional		$22.39	$29.51	$53.70