Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $75.86 / $134.90	Facility		$42.66	$75.86	$134.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $60.26 / $190.55	Professional		$38.02	$60.26	$190.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $52.48 / $54.95	Professional		$42.66	$52.48	$54.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $60.26 / $134.90	Professional		$48.98	$60.26	$134.90
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Facility		$57.54	$57.54	$57.54
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $79.43	Professional		$57.54	$57.54	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $173.78 / $245.47	Facility		$64.57	$173.78	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $89.13 / $234.42	Professional		$41.69	$89.13	$234.42
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $41.69 / $102.33	Facility		$25.12	$41.69	$102.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $91.20 / $125.89	Professional		$63.10	$91.20	$125.89
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $70.79 / $120.23	Professional		$51.29	$70.79	$120.23
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $50,118.72 / $75,857.76	Facility		$81.28	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $81.28 / $147.91	Professional		$66.07	$81.28	$147.91
United Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $223.87 / $275.42	Facility		$190.55	$223.87	$275.42
United Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $61.66 / $151.36	Professional		$37.15	$61.66	$151.36
Univera Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $46.77 / $275.42	Facility		$32.36	$46.77	$275.42
Univera Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $70.79 / $158.49	Professional		$46.77	$70.79	$158.49