Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.78 / $39.97 / $64.43	Facility		$25.78	$39.97	$64.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.54 / $51.58 / $74.62	Professional		$32.54	$51.58	$74.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $96.00 / $96.00 / $96.00	Professional		$96.00	$96.00	$96.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.59 / $58.32 / $115.04	Professional		$46.59	$58.32	$115.04
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $58.77 / $58.77 / $58.77	Facility		$58.77	$58.77	$58.77
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $58.77 / $58.77 / $92.19	Professional		$58.77	$58.77	$92.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.91 / $52.91 / $52.91	Facility		$52.91	$52.91	$52.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.14 / $57.14 / $57.14	Professional		$57.14	$57.14	$57.14
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $53.00 / $61.20 / $332.00	Facility		$53.00	$61.20	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $70.17 / $87.35 / $130.44	Professional		$70.17	$87.35	$130.44
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.89 / $60.11 / $71.53	Facility		$38.89	$60.11	$71.53
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.12 / $70.33 / $131.09	Professional		$53.12	$70.33	$131.09
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $52.91 / $52.91 / $52.91	Facility		$52.91	$52.91	$52.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $57.14 / $68.53 / $147.60	Professional		$57.14	$68.53	$147.60
United Facility/Professional Professional Modifier Low / Median / High Price $48.04 / $71.80 / $151.13	Professional		$48.04	$71.80	$151.13
Univera Facility/Professional Facility Modifier Low / Median / High Price $43.18 / $43.18 / $71.53	Facility		$43.18	$43.18	$71.53
Univera Facility/Professional Professional Modifier Low / Median / High Price $53.12 / $70.12 / $127.10	Professional		$53.12	$70.12	$127.10