Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.54 / $53.87 / $92.42	Facility		$31.54	$53.87	$92.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.34 / $48.24 / $92.80	Professional		$29.34	$48.24	$92.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.25 / $30.95 / $69.45	Professional		$26.25	$30.95	$69.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.79 / $21.30 / $79.83	Professional		$16.79	$21.30	$79.83
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $40.13 / $43.15 / $43.15	Facility		$40.13	$43.15	$43.15
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $43.15 / $43.15 / $43.15	Professional		$43.15	$43.15	$43.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.29 / $60.29 / $60.29	Facility		$60.29	$60.29	$60.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.99 / $20.99 / $20.99	Professional		$20.99	$20.99	$20.99
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $51.45 / $94.15 / $332.00	Facility		$51.45	$94.15	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $54.02 / $69.66 / $111.65	Professional		$54.02	$69.66	$111.65
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.70 / $70.70 / $70.70	Facility		$70.70	$70.70	$70.70
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.15 / $75.12 / $75.12	Professional		$43.15	$75.12	$75.12
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $60.29 / $60.29 / $597.00	Facility		$60.29	$60.29	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $20.99 / $88.11	Professional		$10.00	$20.99	$88.11
United Facility/Professional Professional Modifier Low / Median / High Price $17.11 / $29.38 / $57.74	Professional		$17.11	$29.38	$57.74
Univera Facility/Professional Facility Modifier Low / Median / High Price $70.70 / $70.70 / $75.92	Facility		$70.70	$70.70	$75.92
Univera Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $70.70 / $75.12	Professional		$70.70	$70.70	$75.12