Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.76 / $20.72 / $46.21	Facility		$15.76	$20.72	$46.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.76 / $22.02 / $48.64	Professional		$15.76	$22.02	$48.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.29 / $19.29 / $29.20	Professional		$19.29	$19.29	$29.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.39 / $10.65 / $39.92	Professional		$8.39	$10.65	$39.92
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $20.07 / $21.58 / $21.58	Facility		$20.07	$21.58	$21.58
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $21.58 / $21.58 / $21.58	Professional		$21.58	$21.58	$21.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.14 / $30.14 / $30.14	Facility		$30.14	$30.14	$30.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.49 / $10.49 / $10.49	Professional		$10.49	$10.49	$10.49
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $25.72 / $47.07 / $332.00	Facility		$25.72	$47.07	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $27.01 / $34.82 / $55.81	Professional		$27.01	$34.82	$55.81
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.35 / $35.35 / $35.35	Facility		$35.35	$35.35	$35.35
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.58 / $37.56 / $37.56	Professional		$21.58	$37.56	$37.56
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $30.14 / $30.14 / $597.00	Facility		$30.14	$30.14	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.49 / $44.06	Professional		$10.00	$10.49	$44.06
United Facility/Professional Professional Modifier Low / Median / High Price $8.56 / $15.43 / $28.29	Professional		$8.56	$15.43	$28.29
Univera Facility/Professional Facility Modifier Low / Median / High Price $35.35 / $35.35 / $37.96	Facility		$35.35	$35.35	$37.96
Univera Facility/Professional Professional Modifier Low / Median / High Price $35.35 / $35.35 / $37.56	Professional		$35.35	$35.35	$37.56