Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.38 / $116.03 / $202.82	Facility		$70.38	$116.03	$202.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.80 / $111.39 / $181.53	Professional		$72.80	$111.39	$181.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $105.80 / $123.18 / $203.65	Professional		$105.80	$123.18	$203.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $115.00 / $198.00 / $264.00	Facility		$115.00	$198.00	$264.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.44 / $93.17 / $229.40	Professional		$77.44	$93.17	$229.40
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $133.53 / $133.53 / $169.34	Professional		$133.53	$133.53	$169.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.95 / $117.95 / $117.95	Facility		$117.95	$117.95	$117.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $154.51 / $302.70	Professional		$90.00	$154.51	$302.70
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $83.00 / $136.72 / $336.98	Facility		$83.00	$136.72	$336.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $113.49 / $143.51 / $229.76	Professional		$113.49	$143.51	$229.76
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.58 / $76.33 / $113.16	Facility		$56.58	$76.33	$113.16
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.32 / $108.35 / $237.04	Professional		$51.32	$108.35	$237.04
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $117.95 / $117.95 / $117.95	Facility		$117.95	$117.95	$117.95
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $0.03 / $146.88 / $304.00	Professional		$0.03	$146.88	$304.00
Optum Facility/Professional Professional Modifier Low / Median / High Price $70.75 / $125.62 / $157.11	Professional		$70.75	$125.62	$157.11
United Facility/Professional Professional Modifier Low / Median / High Price $96.33 / $139.22 / $284.02	Professional		$96.33	$139.22	$284.02
Univera Facility/Professional Facility Modifier Low / Median / High Price $47.16 / $56.58 / $303.11	Facility		$47.16	$56.58	$303.11
Univera Facility/Professional Professional Modifier Low / Median / High Price $74.86 / $149.72 / $237.04	Professional		$74.86	$149.72	$237.04