Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.76 / $88.52 / $132.22	Facility		$54.76	$88.52	$132.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.85 / $92.38 / $241.42	Professional		$55.85	$92.38	$241.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $92.67 / $128.78 / $135.40	Professional		$92.67	$128.78	$135.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.81 / $64.20 / $153.03	Professional		$49.81	$64.20	$153.03
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $104.53 / $104.53 / $104.53	Facility		$104.53	$104.53	$104.53
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $104.53 / $104.53 / $104.53	Professional		$104.53	$104.53	$104.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $82.84 / $82.84 / $82.84	Facility		$82.84	$82.84	$82.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.24 / $108.69 / $194.14	Professional		$59.24	$108.69	$194.14
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $83.43 / $160.00 / $332.00	Facility		$83.43	$160.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $78.81 / $96.16 / $189.96	Professional		$78.81	$96.16	$189.96
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.95 / $78.93 / $134.25	Professional		$37.95	$78.93	$134.25
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $82.84 / $555.00 / $74,999.25	Facility		$82.84	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $71.23 / $108.69 / $198.32	Professional		$71.23	$108.69	$198.32
United Facility/Professional Professional Modifier Low / Median / High Price $66.77 / $96.31 / $170.97	Professional		$66.77	$96.31	$170.97
Univera Facility/Professional Facility Modifier Low / Median / High Price $69.73 / $69.73 / $231.01	Facility		$69.73	$69.73	$231.01
Univera Facility/Professional Professional Modifier Low / Median / High Price $59.28 / $83.67 / $184.28	Professional		$59.28	$83.67	$184.28