Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $64.57 / $208.93	Facility		$47.86	$64.57	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $60.26 / $302.00	Professional		$33.11	$60.26	$302.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $60.26 / $114.82	Professional		$43.65	$60.26	$114.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $45.71 / $104.71	Professional		$34.67	$45.71	$104.71
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Facility		$57.54	$57.54	$57.54
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $81.28	Professional		$57.54	$57.54	$81.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Facility		$61.66	$61.66	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $75.86 / $177.83	Professional		$41.69	$75.86	$177.83
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $81.28	Facility		$19.95	$19.95	$81.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $87.10 / $123.03	Professional		$66.07	$87.10	$123.03
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Facility		$53.70	$53.70	$53.70
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $66.07 / $123.03	Professional		$41.69	$66.07	$123.03
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $89.13 / $208.93	Professional		$64.57	$89.13	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $57.54 / $123.03	Professional		$33.11	$57.54	$123.03
Univera Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $48.98 / $53.70	Facility		$33.88	$48.98	$53.70
Univera Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $63.10 / $117.49	Professional		$41.69	$63.10	$117.49