Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $95.50 / $199.53	Facility		$64.57	$95.50	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $123.03 / $251.19	Professional		$57.54	$123.03	$251.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $79.43	Professional		$70.79	$70.79	$79.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $63.10 / $147.91	Professional		$50.12	$63.10	$147.91
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Professional		$104.71	$104.71	$104.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $53,703.18	Facility		$109.65	$109.65	$53,703.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $112.20 / $245.47	Professional		$63.10	$112.20	$245.47
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $102.33 / $269.15	Facility		$77.62	$102.33	$269.15
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $97.72 / $138.04	Professional		$70.79	$97.72	$138.04
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $95.50 / $141.25	Professional		$30.20	$95.50	$141.25
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $50,118.72 / $75,857.76	Facility		$64.57	$50,118.72	$75,857.76
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 $66.07 / $83.18 / $158.49	Professional		$66.07	$83.18	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $83.18 / $165.96	Professional		$56.23	$83.18	$165.96
Univera Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $63.10 / $245.47	Facility		$37.15	$63.10	$245.47
Univera Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $93.33 / $190.55	Professional		$30.20	$93.33	$190.55