Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $138.04 / $208.93	Facility		$100.00	$138.04	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $141.25 / $398.11	Professional		$85.11	$141.25	$398.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $97.72 / $141.25	Professional		$83.18	$97.72	$141.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $97.72 / $229.09	Professional		$75.86	$97.72	$229.09
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Professional		$162.18	$162.18	$162.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $53,703.18	Facility		$154.88	$154.88	$53,703.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $165.96 / $371.54	Professional		$91.20	$165.96	$371.54
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $128.82 / $346.74	Facility		$85.11	$128.82	$346.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $134.90 / $194.98	Professional		$79.43	$134.90	$194.98
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $147.91 / $213.80	Professional		$44.67	$147.91	$213.80
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $50,118.72 / $75,857.76	Facility		$97.72	$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 / $104.71 / $239.88	Professional		$66.07	$104.71	$239.88
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $125.89 / $257.04	Professional		$81.28	$125.89	$257.04
Univera Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $95.50 / $338.84	Facility		$56.23	$95.50	$338.84
Univera Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $141.25 / $295.12	Professional		$44.67	$141.25	$295.12