Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $15.14 / $30.20	Facility		$14.13	$15.14	$30.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $22.91 / $38.90	Professional		$16.98	$22.91	$38.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $27.54 / $32.36	Professional		$23.99	$27.54	$32.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $28.84 / $41.69	Professional		$23.44	$28.84	$41.69
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Facility		$33.88	$33.88	$33.88
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $37.15	Professional		$33.88	$33.88	$37.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Facility		$46.77	$46.77	$46.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $67.61	Professional		$28.84	$28.84	$67.61
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $93.33	Facility		$22.91	$22.91	$93.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $47.86 / $67.61	Professional		$36.31	$47.86	$67.61
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Facility		$30.90	$30.90	$30.90
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $31.62 / $54.95	Professional		$19.95	$31.62	$54.95
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $37.15 / $91.20	Professional		$28.18	$37.15	$91.20
United Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $93.33	Facility		$91.20	$91.20	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $28.18 / $64.57	Professional		$20.42	$28.18	$64.57
Univera Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $24.55 / $30.90	Facility		$18.62	$24.55	$30.90
Univera Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $27.54 / $51.29	Professional		$19.95	$27.54	$51.29