Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.47 / $89.79 / $150.19	Facility		$63.47	$89.79	$150.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.47 / $102.50 / $268.55	Professional		$63.47	$102.50	$268.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $144.03 / $144.03 / $144.03	Professional		$144.03	$144.03	$144.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $186.43 / $190.16 / $372.86	Facility		$186.43	$190.16	$372.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.75 / $103.75 / $288.98	Professional		$103.75	$103.75	$288.98
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $144.46 / $155.33 / $155.33	Facility		$144.46	$155.33	$155.33
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $155.33 / $155.33 / $155.33	Professional		$155.33	$155.33	$155.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.63 / $106.63 / $121.71	Facility		$106.63	$106.63	$121.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.84 / $77.84 / $121.71	Professional		$77.84	$77.84	$121.71
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $186.43 / $319.00 / $419.47	Facility		$186.43	$319.00	$419.47
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $109.99 / $139.82 / $339.68	Professional		$109.99	$139.82	$339.68
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.10 / $119.10 / $155.33	Professional		$112.10	$119.10	$155.33
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $106.63 / $121.71 / $555.00	Facility		$106.63	$121.71	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $77.84 / $87.21 / $246.00	Professional		$77.84	$87.21	$246.00
United Facility/Professional Professional Modifier Low / Median / High Price $62.01 / $99.32 / $160.69	Professional		$62.01	$99.32	$160.69
Univera Facility/Professional Facility Modifier Low / Median / High Price $112.10 / $112.10 / $124.58	Facility		$112.10	$112.10	$124.58
Univera Facility/Professional Professional Modifier Low / Median / High Price $112.10 / $112.10 / $119.10	Professional		$112.10	$112.10	$119.10