Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.53 / $88.47 / $129.52	Facility		$61.53	$88.47	$129.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.78 / $67.81 / $96.60	Professional		$55.78	$67.81	$96.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.24 / $57.24 / $57.24	Professional		$57.24	$57.24	$57.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.21 / $62.76 / $98.07	Professional		$50.21	$62.76	$98.07
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $88.92 / $88.92 / $88.92	Facility		$88.92	$88.92	$88.92
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $88.92 / $88.92 / $100.38	Professional		$88.92	$88.92	$100.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.73 / $108.73 / $108.73	Facility		$108.73	$108.73	$108.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.58 / $71.00 / $193.27	Professional		$49.58	$71.00	$193.27
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $56.27 / $56.27 / $319.00	Facility		$56.27	$56.27	$319.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $76.69 / $106.91 / $154.03	Professional		$76.69	$106.91	$154.03
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.98 / $59.98 / $70.98	Facility		$59.98	$59.98	$70.98
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.56 / $89.69 / $153.10	Professional		$57.56	$89.69	$153.10
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $108.73 / $108.73 / $555.00	Facility		$108.73	$108.73	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $73.33 / $182.26	Professional		$50.00	$73.33	$182.26
Optum Facility/Professional Professional Modifier Low / Median / High Price $55.04 / $67.56 / $81.65	Professional		$55.04	$67.56	$81.65
United Facility/Professional Professional Modifier Low / Median / High Price $58.15 / $74.65 / $165.00	Professional		$58.15	$74.65	$165.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $70.98 / $76.52 / $76.52	Facility		$70.98	$76.52	$76.52
Univera Facility/Professional Professional Modifier Low / Median / High Price $70.98 / $96.19 / $162.68	Professional		$70.98	$96.19	$162.68