Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.09 / $103.14 / $174.44	Facility		$69.09	$103.14	$174.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.16 / $97.37 / $242.30	Professional		$62.16	$97.37	$242.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $62.18 / $62.18 / $129.52	Professional		$62.18	$62.18	$129.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $3,373.00 / $4,707.00	Facility		$1,689.00	$3,373.00	$4,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.37 / $95.73 / $213.68	Professional		$75.37	$95.73	$213.68
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $93.54 / $93.54 / $6,213.00	Facility		$93.54	$93.54	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $93.54 / $93.54 / $132.69	Professional		$93.54	$93.54	$132.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.76 / $114.76 / $14,648.00	Facility		$114.76	$114.76	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.48 / $120.58 / $318.10	Professional		$71.48	$120.58	$318.10
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $83.01 / $332.00	Facility		$35.00	$83.01	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $107.96 / $152.85 / $225.27	Professional		$107.96	$152.85	$225.27
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $92.71 / $92.71 / $92.71	Facility		$92.71	$92.71	$92.71
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.31 / $116.89 / $206.20	Professional		$77.31	$116.89	$206.20
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.84 / $128.84 / $128.84	Professional		$128.84	$128.84	$128.84
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $114.76 / $555.00 / $597.00	Facility		$114.76	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $76.00 / $126.26 / $304.73	Professional		$76.00	$126.26	$304.73
United Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,826.00 / $4,851.00	Facility		$964.00	$2,826.00	$4,851.00
United Facility/Professional Professional Modifier Low / Median / High Price $82.86 / $119.69 / $297.85	Professional		$82.86	$119.69	$297.85
Univera Facility/Professional Facility Modifier Low / Median / High Price $80.95 / $80.95 / $287.52	Facility		$80.95	$80.95	$287.52
Univera Facility/Professional Professional Modifier Low / Median / High Price $79.48 / $121.56 / $206.20	Professional		$79.48	$121.56	$206.20