Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.56 / $208.30 / $527.02	Facility		$127.56	$208.30	$527.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.09 / $161.31 / $489.30	Professional		$113.09	$161.31	$489.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $135.00 / $135.00 / $135.00	Professional		$135.00	$135.00	$135.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.49 / $159.57 / $342.36	Professional		$128.49	$159.57	$342.36
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $57.32 / $57.32 / $175.02	Facility		$57.32	$57.32	$175.02
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $57.32 / $175.02 / $232.34	Professional		$57.32	$175.02	$232.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $285.08 / $413.83 / $697.35	Facility		$285.08	$413.83	$697.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.75 / $209.73 / $501.47	Professional		$117.75	$209.73	$501.47
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $97.48 / $174.50 / $346.00	Facility		$97.48	$174.50	$346.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $127.74 / $188.05 / $313.72	Professional		$127.74	$188.05	$313.72
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.25 / $25.25 / $25.25	Facility		$25.25	$25.25	$25.25
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.14 / $184.05 / $329.86	Professional		$84.14	$184.05	$329.86
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $175.22 / $413.83 / $656.64	Facility		$175.22	$413.83	$656.64
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $214.12 / $468.28	Professional		$120.00	$214.12	$468.28
United Facility/Professional Professional Modifier Low / Median / High Price $110.61 / $154.61 / $354.00	Professional		$110.61	$154.61	$354.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $181.01 / $181.01 / $271.39	Facility		$181.01	$181.01	$271.39
Univera Facility/Professional Professional Modifier Low / Median / High Price $84.14 / $209.17 / $397.53	Professional		$84.14	$209.17	$397.53