Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.49 / $98.69 / $340.49	Facility		$40.49	$98.69	$340.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.36 / $39.06 / $55.61	Professional		$35.36	$39.06	$55.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.86 / $22.86 / $22.86	Professional		$22.86	$22.86	$22.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.63 / $47.63 / $123.84	Facility		$47.63	$47.63	$123.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.72 / $28.81 / $107.88	Professional		$22.72	$28.81	$107.88
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $28.58 / $47.63 / $47.63	Facility		$28.58	$47.63	$47.63
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $34.77 / $47.63 / $47.63	Professional		$34.77	$47.63	$47.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.29 / $96.80 / $488.26	Facility		$33.29	$96.80	$488.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.35 / $47.41 / $291.97	Professional		$35.35	$47.41	$291.97
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $29.10 / $61.92 / $332.00	Facility		$29.10	$61.92	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $28.58 / $87.16	Professional		$19.05	$28.58	$87.16
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.44 / $47.63 / $63.21	Professional		$39.44	$47.63	$63.21
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $30.96 / $30.96 / $33.34	Professional		$30.96	$30.96	$33.34
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.46 / $81.87 / $212.18	Facility		$37.46	$81.87	$212.18
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.42 / $31.73 / $31.73	Professional		$31.42	$31.73	$31.73
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $116.63 / $568.74	Facility		$43.65	$116.63	$568.74
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $38.22 / $54.52 / $98.12	Professional		$38.22	$54.52	$98.12
United Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $28.58 / $71.45	Professional		$20.00	$28.58	$71.45
Univera Facility/Professional Facility Modifier Low / Median / High Price $54.77 / $54.77 / $175.43	Facility		$54.77	$54.77	$175.43
Univera Facility/Professional Professional Modifier Low / Median / High Price $39.44 / $53.23 / $70.04	Professional		$39.44	$53.23	$70.04