Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.55 / $1,819.00 / $9,661.00	Facility		$19.55	$1,819.00	$9,661.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.96 / $41.36 / $96.20	Professional		$17.96	$41.36	$96.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $111.00 / $111.00 / $111.00	Professional		$111.00	$111.00	$111.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.47 / $64.56 / $149.91	Professional		$32.47	$64.56	$149.91
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $31.00 / $31.00 / $31.00	Facility		$31.00	$31.00	$31.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $31.00 / $31.00 / $116.46	Professional		$31.00	$31.00	$116.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.04 / $29.04 / $29.04	Facility		$29.04	$29.04	$29.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.09 / $74.09 / $74.09	Professional		$74.09	$74.09	$74.09
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $33.54 / $35.00 / $332.00	Facility		$33.54	$35.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $92.60 / $115.81 / $167.35	Professional		$92.60	$115.81	$167.35
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.32 / $77.12 / $107.97	Facility		$21.32	$77.12	$107.97
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.05 / $103.34 / $177.78	Professional		$63.05	$103.34	$177.78
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $29.04 / $29.04 / $125.00	Facility		$29.04	$29.04	$125.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $71.76 / $79.83 / $163.27	Professional		$71.76	$79.83	$163.27
United Facility/Professional Professional Modifier Low / Median / High Price $47.28 / $84.57 / $198.08	Professional		$47.28	$84.57	$198.08
Univera Facility/Professional Facility Modifier Low / Median / High Price $23.48 / $23.48 / $107.97	Facility		$23.48	$23.48	$107.97
Univera Facility/Professional Professional Modifier Low / Median / High Price $58.25 / $90.47 / $177.78	Professional		$58.25	$90.47	$177.78