Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.18 / $100.87 / $117.48	Facility		$65.18	$100.87	$117.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.18 / $104.68 / $140.37	Professional		$65.18	$104.68	$140.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $104.85 / $111.97 / $111.97	Professional		$104.85	$111.97	$111.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.24 / $109.58 / $232.44	Professional		$88.24	$109.58	$232.44
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $159.58 / $159.58 / $159.58	Facility		$159.58	$159.58	$159.58
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $159.58 / $159.58 / $159.58	Professional		$159.58	$159.58	$159.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $124.10 / $124.10 / $124.10	Facility		$124.10	$124.10	$124.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.42 / $96.42 / $96.42	Professional		$96.42	$96.42	$96.42
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $106.00 / $168.37 / $430.36	Facility		$106.00	$168.37	$430.36
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $118.82 / $147.96 / $221.43	Professional		$118.82	$147.96	$221.43
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.04 / $102.04 / $142.86	Facility		$102.04	$102.04	$142.86
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.53 / $136.74 / $231.55	Professional		$87.53	$136.74	$231.55
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $124.10 / $124.10 / $124.10	Facility		$124.10	$124.10	$124.10
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $96.42 / $114.03 / $238.27	Professional		$96.42	$114.03	$238.27
United Facility/Professional Professional Modifier Low / Median / High Price $90.07 / $122.45 / $266.89	Professional		$90.07	$122.45	$266.89
Univera Facility/Professional Facility Modifier Low / Median / High Price $102.04 / $117.83 / $142.86	Facility		$102.04	$117.83	$142.86
Univera Facility/Professional Professional Modifier Low / Median / High Price $96.61 / $125.33 / $258.85	Professional		$96.61	$125.33	$258.85