Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.36 / $38.19 / $58.29	Facility		$22.36	$38.19	$58.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.36 / $46.00 / $86.18	Professional		$22.36	$46.00	$86.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $49.24 / $49.24 / $49.24	Professional		$49.24	$49.24	$49.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.91 / $15.10 / $56.61	Professional		$11.91	$15.10	$56.61
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $28.46 / $30.60 / $30.60	Facility		$28.46	$30.60	$30.60
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $30.60 / $30.60 / $30.60	Professional		$30.60	$30.60	$30.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.74 / $42.74 / $42.74	Facility		$42.74	$42.74	$42.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.88 / $14.88 / $14.88	Professional		$14.88	$14.88	$14.88
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $36.47 / $66.73 / $332.00	Facility		$36.47	$66.73	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $38.29 / $49.38 / $79.14	Professional		$38.29	$49.38	$79.14
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.40 / $44.40 / $44.40	Facility		$44.40	$44.40	$44.40
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.60 / $47.18 / $47.18	Professional		$30.60	$47.18	$47.18
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $42.74 / $42.74 / $597.00	Facility		$42.74	$42.74	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $14.88 / $62.48	Professional		$10.00	$14.88	$62.48
United Facility/Professional Professional Modifier Low / Median / High Price $12.13 / $21.32 / $39.43	Professional		$12.13	$21.32	$39.43
Univera Facility/Professional Facility Modifier Low / Median / High Price $44.40 / $44.40 / $47.71	Facility		$44.40	$44.40	$47.71
Univera Facility/Professional Professional Modifier Low / Median / High Price $44.40 / $44.40 / $47.18	Professional		$44.40	$44.40	$47.18