Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.18 / $174.53 / $289.82	Facility		$113.18	$174.53	$289.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.18 / $163.44 / $286.52	Professional		$113.18	$163.44	$286.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $151.76 / $175.96 / $289.74	Professional		$151.76	$175.96	$289.74
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 $104.64 / $128.58 / $333.30	Professional		$104.64	$128.58	$333.30
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $214.81 / $214.81 / $253.96	Professional		$214.81	$214.81	$253.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.68 / $178.68 / $178.68	Facility		$178.68	$178.68	$178.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.05 / $234.54 / $452.16	Professional		$137.05	$234.54	$452.16
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $207.55 / $365.40	Facility		$90.00	$207.55	$365.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $114.75 / $203.84 / $327.60	Professional		$114.75	$203.84	$327.60
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $90.93 / $111.50 / $181.86	Facility		$90.93	$111.50	$181.86
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.31 / $161.09 / $355.01	Professional		$76.31	$161.09	$355.01
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $178.68 / $178.68 / $178.68	Facility		$178.68	$178.68	$178.68
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $0.03 / $220.85 / $452.16	Professional		$0.03	$220.85	$452.16
Optum Facility/Professional Professional Modifier Low / Median / High Price $70.75 / $181.86 / $231.51	Professional		$70.75	$181.86	$231.51
United Facility/Professional Professional Modifier Low / Median / High Price $130.00 / $200.64 / $418.99	Professional		$130.00	$200.64	$418.99
Univera Facility/Professional Facility Modifier Low / Median / High Price $75.80 / $90.93 / $476.54	Facility		$75.80	$90.93	$476.54
Univera Facility/Professional Professional Modifier Low / Median / High Price $111.50 / $224.32 / $355.01	Professional		$111.50	$224.32	$355.01