Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.17 / $118.80 / $239.70	Facility		$66.17	$118.80	$239.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.17 / $82.36 / $140.19	Professional		$62.17	$82.36	$140.19
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $145.34 / $145.34 / $145.34	Professional	25	$145.34	$145.34	$145.34
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $139.77 / $139.77 / $139.77	Professional	25	$139.77	$139.77	$139.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.76 / $91.59 / $181.46	Professional		$73.76	$91.59	$181.46
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $71.93 / $71.93 / $71.93	Facility		$71.93	$71.93	$71.93
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $71.93 / $71.93 / $127.31	Professional		$71.93	$71.93	$127.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.47 / $120.47 / $120.47	Facility		$120.47	$120.47	$120.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.55 / $108.65 / $255.24	Professional		$63.55	$108.65	$255.24
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $99.50 / $196.16 / $337.49	Facility		$99.50	$196.16	$337.49
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $153.07 / $213.38 / $324.51	Professional		$153.07	$213.38	$324.51
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.84 / $127.01 / $127.01	Facility		$73.84	$127.01	$127.01
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.16 / $142.25 / $234.85	Professional		$81.16	$142.25	$234.85
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $120.47 / $120.47 / $74,999.25	Facility		$120.47	$120.47	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $68.61 / $131.44 / $255.24	Professional		$68.61	$131.44	$255.24
United Facility/Professional Professional Modifier Low / Median / High Price $73.91 / $111.35 / $222.37	Professional		$73.91	$111.35	$222.37
Univera Facility/Professional Facility Modifier Low / Median / High Price $86.87 / $127.01 / $155.41	Facility		$86.87	$127.01	$155.41
Univera Facility/Professional Professional Modifier Low / Median / High Price $90.82 / $150.87 / $245.12	Professional		$90.82	$150.87	$245.12