Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.33 / $171.44 / $248.67	Facility		$116.33	$171.44	$248.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.61 / $171.43 / $458.25	Professional		$131.61	$171.43	$458.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $172.31 / $172.31 / $172.31	Professional		$172.31	$172.31	$172.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.54 / $136.04 / $311.76	Professional		$109.54	$136.04	$311.76
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $232.98 / $232.98 / $232.98	Professional		$232.98	$232.98	$232.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $157.57 / $157.57 / $157.57	Facility		$157.57	$157.57	$157.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.44 / $234.97 / $433.78	Professional		$126.44	$234.97	$433.78
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $174.25 / $340.52	Facility		$85.00	$174.25	$340.52
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $181.61 / $281.08	Professional		$80.00	$181.61	$281.08
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.47 / $205.29 / $312.82	Professional		$64.47	$205.29	$312.82
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $157.57 / $555.00 / $74,999.25	Facility		$157.57	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $0.03 / $207.75 / $433.78	Professional		$0.03	$207.75	$433.78
Optum Facility/Professional Professional Modifier Low / Median / High Price $66.75 / $110.21 / $349.82	Professional		$66.75	$110.21	$349.82
United Facility/Professional Professional Modifier Low / Median / High Price $133.61 / $191.75 / $374.32	Professional		$133.61	$191.75	$374.32
Univera Facility/Professional Facility Modifier Low / Median / High Price $82.29 / $98.73 / $489.46	Facility		$82.29	$98.73	$489.46
Univera Facility/Professional Professional Modifier Low / Median / High Price $74.31 / $205.29 / $376.54	Professional		$74.31	$205.29	$376.54