Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.10 / $23.82 / $161.96	Facility		$20.10	$23.82	$161.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.10 / $123.28 / $188.08	Professional		$20.10	$123.28	$188.08
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 $20.57 / $26.28 / $56.94	Professional		$20.57	$26.28	$56.94
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $47.68 / $71.54 / $286.13	Facility		$47.68	$71.54	$286.13
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $47.68 / $71.54 / $286.13	Professional		$47.68	$71.54	$286.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $261.13 / $261.13 / $261.13	Facility		$261.13	$261.13	$261.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.29 / $182.29 / $182.29	Professional		$182.29	$182.29	$182.29
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 $261.13 / $261.13 / $597.00	Facility		$261.13	$261.13	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $182.29 / $182.29 / $182.29	Professional		$182.29	$182.29	$182.29
United Facility/Professional Professional Modifier Low / Median / High Price $141.04 / $223.82 / $479.50	Professional		$141.04	$223.82	$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