Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.76 / $75.28 / $105.98	Facility		$57.76	$75.28	$105.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.17 / $60.57 / $81.94	Professional		$49.17	$60.57	$81.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.92 / $41.92 / $41.92	Professional		$41.92	$41.92	$41.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.00 / $56.05 / $73.00	Professional		$44.00	$56.05	$73.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $85.72 / $85.72 / $85.72	Facility		$85.72	$85.72	$85.72
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $85.72 / $85.72 / $86.67	Professional		$85.72	$85.72	$86.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.36 / $94.36 / $94.36	Facility		$94.36	$94.36	$94.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.00 / $61.50 / $131.87	Professional		$44.00	$61.50	$131.87
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $319.00	Facility		$55.00	$55.00	$319.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $60.59 / $84.78 / $119.96	Professional		$60.59	$84.78	$119.96
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.28 / $57.26 / $57.26	Facility		$55.28	$57.26	$57.26
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.29 / $63.02 / $119.70	Professional		$48.29	$63.02	$119.70
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $94.36 / $94.36 / $555.00	Facility		$94.36	$94.36	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $44.01 / $63.00 / $138.84	Professional		$44.01	$63.00	$138.84
United Facility/Professional Professional Modifier Low / Median / High Price $54.16 / $73.97 / $165.14	Professional		$54.16	$73.97	$165.14
Univera Facility/Professional Facility Modifier Low / Median / High Price $55.28 / $70.62 / $70.62	Facility		$55.28	$70.62	$70.62
Univera Facility/Professional Professional Modifier Low / Median / High Price $53.26 / $71.02 / $149.28	Professional		$53.26	$71.02	$149.28