Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $57.54 / $87.10	Professional		$42.66	$57.54	$87.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $83.18 / $85.11	Professional		$81.28	$83.18	$85.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $89.13 / $144.54	Professional		$72.44	$89.13	$144.54
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $120.23	Professional		$102.33	$102.33	$120.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $95.50 / $251.19	Professional		$53.70	$95.50	$251.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $112.20 / $128.82	Professional		$100.00	$112.20	$128.82
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $74.13 / $107.15	Professional		$58.88	$74.13	$107.15
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $107.15 / $120.23	Professional		$75.86	$107.15	$120.23
Optum Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $39.81	Professional		$30.90	$30.90	$39.81
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $81.28 / $173.78	Professional		$53.70	$81.28	$173.78
Univera Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Univera Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $74.13 / $107.15	Professional		$64.57	$74.13	$107.15