Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.34 / $206.98 / $240.14	Facility		$154.34	$206.98	$240.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.98 / $223.16 / $278.10	Professional		$206.98	$223.16	$278.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $187.54 / $250.00 / $250.00	Professional		$187.54	$250.00	$250.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.00 / $60.00 / $64.00	Facility		$15.00	$60.00	$64.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.96 / $58.27 / $207.49	Professional		$45.96	$58.27	$207.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.81 / $65.81 / $65.81	Professional		$65.81	$65.81	$65.81
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $260.05 / $260.05 / $260.05	Facility		$260.05	$260.05	$260.05
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $260.05 / $260.05 / $260.05	Professional		$260.05	$260.05	$260.05
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $555.00 / $597.00	Facility		$555.00	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $65.81 / $65.81 / $65.81	Professional		$65.81	$65.81	$65.81
Optum Facility/Professional Professional Modifier Low / Median / High Price $207.49 / $207.49 / $232.39	Professional		$207.49	$207.49	$232.39
United Facility/Professional Professional Modifier Low / Median / High Price $207.49 / $207.49 / $232.39	Professional		$207.49	$207.49	$232.39