Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $102.33 / $190.55	Facility		$70.79	$102.33	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $114.82 / $316.23	Professional		$70.79	$114.82	$316.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $109.65 / $134.90	Professional		$72.44	$109.65	$134.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $93.33 / $169.82	Professional		$79.43	$93.33	$169.82
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $169.82	Professional		$134.90	$134.90	$169.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Facility		$134.90	$134.90	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $144.54 / $269.15	Professional		$93.33	$144.54	$269.15
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $83.18 / $338.84	Facility		$83.18	$83.18	$338.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $151.36 / $223.87	Professional		$114.82	$151.36	$223.87
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Facility		$75.86	$75.86	$75.86
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $112.20 / $239.88	Professional		$54.95	$112.20	$239.88
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.03 / $0.05	Professional		$0.02	$0.03	$0.05
Optum Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $128.82 / $169.82	Professional		$69.18	$128.82	$169.82
United Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $100.00	Facility		$64.57	$64.57	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $114.82 / $213.80	Professional		$75.86	$114.82	$213.80
Univera Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $81.28 / $208.93	Facility		$46.77	$81.28	$208.93
Univera Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $114.82 / $239.88	Professional		$53.70	$114.82	$239.88