Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $199.53 / $199.53	Facility		$52.48	$199.53	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $54.95 / $83.18	Professional		$42.66	$54.95	$83.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $85.11 / $154.88	Professional		$81.28	$85.11	$154.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $134.90 / $50,118.72	Facility		$69.18	$134.90	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $100.00	Professional		$51.29	$51.29	$100.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $52.48 / $102.33	Professional		$42.66	$52.48	$102.33
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $56.23	Facility		$52.48	$52.48	$56.23
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $79.43 / $83.18	Professional		$52.48	$79.43	$83.18
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $50,118.72 / $75,857.76	Facility		$114.82	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Professional		$109.65	$109.65	$109.65
United Facility/Professional Facility Modifier Low / Median / High Price $0.09 / $56.23 / $67.61	Facility		$0.09	$56.23	$67.61
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $67.61 / $123.03	Professional		$44.67	$67.61	$123.03
Univera Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $77.62 / $79.43	Facility		$52.48	$77.62	$79.43
Univera Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $79.43 / $83.18	Professional		$52.48	$79.43	$83.18