Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $51.29 / $478.63	Facility		$37.15	$51.29	$478.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $50.12 / $79.43	Professional		$34.67	$50.12	$79.43
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $53.70 / $53.70 / $53.70	Professional	25	$53.70	$53.70	$53.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $67.61	Professional		$57.54	$57.54	$67.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $60.26 / $107.15	Professional		$47.86	$60.26	$107.15
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Facility		$63.10	$63.10	$63.10
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $85.11	Professional		$63.10	$63.10	$85.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $53,703.18	Facility		$66.07	$66.07	$53,703.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $97.72	Professional		$56.23	$56.23	$97.72
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $51.29 / $144.54	Facility		$40.74	$51.29	$144.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $107.15 / $147.91	Professional		$75.86	$107.15	$147.91
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $58.88 / $58.88	Facility		$36.31	$58.88	$58.88
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $66.07 / $109.65	Professional		$38.02	$66.07	$109.65
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $50,118.72 / $50,118.72 / $53,703.18	Facility		$50,118.72	$50,118.72	$53,703.18
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $87.10 / $100.00	Professional		$70.79	$87.10	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $61.66 / $131.83	Professional		$39.81	$61.66	$131.83
Univera Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $51.29 / $75.86	Facility		$36.31	$51.29	$75.86
Univera Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $66.07 / $112.20	Professional		$37.15	$66.07	$112.20