Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.61 / $46.81 / $86.64	Facility		$36.61	$46.81	$86.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.61 / $51.21 / $67.81	Professional		$36.61	$51.21	$67.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $82.76 / $82.76 / $82.76	Professional		$82.76	$82.76	$82.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $107.55 / $109.70 / $215.10	Facility		$107.55	$109.70	$215.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.96 / $57.96 / $165.78	Professional		$57.96	$57.96	$165.78
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $83.34 / $89.61 / $89.61	Facility		$83.34	$89.61	$89.61
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $89.61 / $89.61 / $89.61	Professional		$89.61	$89.61	$89.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.69 / $62.81 / $62.81	Facility		$56.69	$62.81	$62.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.85 / $45.85 / $62.81	Professional		$45.85	$45.85	$62.81
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $107.55 / $241.99 / $332.00	Facility		$107.55	$241.99	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $55.54 / $80.66 / $193.59	Professional		$55.54	$80.66	$193.59
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.04 / $54.04 / $54.04	Facility		$54.04	$54.04	$54.04
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.04 / $64.66 / $77.13	Professional		$54.04	$64.66	$77.13
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $56.69 / $62.81 / $555.00	Facility		$56.69	$62.81	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $45.85 / $62.81 / $138.47	Professional		$45.85	$62.81	$138.47
United Facility/Professional Professional Modifier Low / Median / High Price $35.77 / $55.72 / $96.80	Professional		$35.77	$55.72	$96.80
Univera Facility/Professional Facility Modifier Low / Median / High Price $64.66 / $64.66 / $67.20	Facility		$64.66	$64.66	$67.20
Univera Facility/Professional Professional Modifier Low / Median / High Price $54.04 / $64.66 / $68.70	Professional		$54.04	$64.66	$68.70