Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.04 / $64.43 / $66.81	Facility		$26.04	$64.43	$66.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.04 / $68.45 / $139.49	Professional		$32.04	$68.45	$139.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.37 / $73.44 / $151.90	Professional		$30.37	$73.44	$151.90
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $286.13 / $286.13 / $286.13	Facility		$286.13	$286.13	$286.13
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $286.13 / $286.13 / $286.13	Professional		$286.13	$286.13	$286.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.12 / $86.12 / $86.12	Facility		$86.12	$86.12	$86.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.51 / $63.51 / $63.51	Professional		$63.51	$63.51	$63.51
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $296.08 / $666.18	Facility		$10.00	$296.08	$666.18
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $296.08 / $399.71 / $642.49	Professional		$296.08	$399.71	$642.49
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.75 / $382.43 / $484.38	Professional		$169.75	$382.43	$484.38
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $86.12 / $86.12 / $597.00	Facility		$86.12	$86.12	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $63.51 / $63.51 / $63.51	Professional		$63.51	$63.51	$63.51
United Facility/Professional Professional Modifier Low / Median / High Price $143.57 / $219.86 / $479.50	Professional		$143.57	$219.86	$479.50
Univera Facility/Professional Facility Modifier Low / Median / High Price $199.70 / $199.70 / $199.70	Facility		$199.70	$199.70	$199.70
Univera Facility/Professional Professional Modifier Low / Median / High Price $199.70 / $257.97 / $492.26	Professional		$199.70	$257.97	$492.26