Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.58 / $126.14 / $201.00	Facility		$80.58	$126.14	$201.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.88 / $131.75 / $304.26	Professional		$92.88	$131.75	$304.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $141.57 / $141.57 / $141.57	Professional		$141.57	$141.57	$141.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.43 / $96.26 / $219.98	Professional		$75.43	$96.26	$219.98
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $160.74 / $160.74 / $160.74	Professional		$160.74	$160.74	$160.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $113.69 / $113.69 / $113.69	Facility		$113.69	$113.69	$113.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.67 / $163.52 / $297.29	Professional		$88.67	$163.52	$297.29
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $142.40 / $332.00	Facility		$85.00	$142.40	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $131.40 / $203.03	Professional		$80.00	$131.40	$203.03
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.68 / $141.24 / $215.36	Professional		$44.68	$141.24	$215.36
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $113.69 / $555.00 / $74,999.25	Facility		$113.69	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $0.03 / $146.66 / $297.29	Professional		$0.03	$146.66	$297.29
Optum Facility/Professional Professional Modifier Low / Median / High Price $66.75 / $100.31 / $242.49	Professional		$66.75	$100.31	$242.49
United Facility/Professional Professional Modifier Low / Median / High Price $91.57 / $131.63 / $264.52	Professional		$91.57	$131.63	$264.52
Univera Facility/Professional Facility Modifier Low / Median / High Price $56.62 / $67.93 / $339.87	Facility		$56.62	$67.93	$339.87
Univera Facility/Professional Professional Modifier Low / Median / High Price $51.13 / $141.24 / $259.22	Professional		$51.13	$141.24	$259.22