Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $70.79 / $81.28	Facility		$33.11	$70.79	$81.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $57.54 / $75.86	Professional		$28.84	$57.54	$75.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $48.98	Professional		$43.65	$43.65	$48.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $61.66 / $77.62	Professional		$52.48	$61.66	$77.62
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $47.86 / $47.86	Facility		$47.86	$47.86	$47.86
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $93.33	Professional		$47.86	$47.86	$93.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Facility		$57.54	$57.54	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $95.50	Professional		$51.29	$51.29	$95.50
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $31.62 / $128.82	Facility		$31.62	$31.62	$128.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $85.11 / $120.23	Professional		$69.18	$85.11	$120.23
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $61.66	Facility		$53.70	$53.70	$61.66
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $64.57 / $125.89	Professional		$53.70	$64.57	$125.89
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $95.50 / $147.91	Professional		$77.62	$95.50	$147.91
Optum Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Professional		$70.79	$70.79	$70.79
United Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $57.54 / $112.20	Professional		$28.84	$57.54	$112.20
Univera Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $41.69 / $53.70	Facility		$25.70	$41.69	$53.70
Univera Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $70.79 / $112.20	Professional		$47.86	$70.79	$112.20