Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.56 / $73.81 / $208.07	Facility		$45.56	$73.81	$208.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.87 / $51.36 / $80.55	Professional		$31.87	$51.36	$80.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $51.21 / $51.21 / $51.21	Professional		$51.21	$51.21	$51.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.03 / $45.80 / $96.39	Professional		$35.03	$45.80	$96.39
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $57.20 / $57.20 / $57.20	Facility		$57.20	$57.20	$57.20
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $57.20 / $57.20 / $82.03	Professional		$57.20	$57.20	$82.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.78 / $53.78 / $53.78	Facility		$53.78	$53.78	$53.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.15 / $74.70 / $166.25	Professional		$39.15	$74.70	$166.25
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $20.05 / $20.05 / $319.00	Facility		$20.05	$20.05	$319.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $60.51 / $85.32 / $117.57	Professional		$60.51	$85.32	$117.57
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.61 / $39.61 / $54.18	Facility		$39.61	$39.61	$54.18
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.67 / $61.76 / $120.64	Professional		$48.67	$61.76	$120.64
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $69.59 / $69.59 / $69.59	Professional		$69.59	$69.59	$69.59
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $53.78 / $53.78 / $555.00	Facility		$53.78	$53.78	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $42.44 / $73.86 / $170.01	Professional		$42.44	$73.86	$170.01
United Facility/Professional Professional Modifier Low / Median / High Price $47.08 / $71.73 / $145.38	Professional		$47.08	$71.73	$145.38
Univera Facility/Professional Facility Modifier Low / Median / High Price $49.46 / $49.46 / $54.18	Facility		$49.46	$49.46	$54.18
Univera Facility/Professional Professional Modifier Low / Median / High Price $53.68 / $71.58 / $126.26	Professional		$53.68	$71.58	$126.26