Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.68 / $143.54 / $371.65	Facility		$55.68	$143.54	$371.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.39 / $56.40 / $66.23	Professional		$40.39	$56.40	$66.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.78 / $29.83 / $62.14	Professional		$16.78	$29.83	$62.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $62.14 / $62.14 / $161.56	Facility		$62.14	$62.14	$161.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.73 / $37.59 / $121.31	Professional		$28.73	$37.59	$121.31
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $37.28 / $62.14 / $62.14	Facility		$37.28	$62.14	$62.14
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $45.36 / $62.14 / $62.14	Professional		$45.36	$62.14	$62.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.43 / $125.78 / $161.16	Facility		$43.43	$125.78	$161.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.04 / $59.62 / $299.51	Professional		$38.04	$59.62	$299.51
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $52.79 / $87.00 / $332.00	Facility		$52.79	$87.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $22.74 / $36.65 / $113.72	Professional		$22.74	$36.65	$113.72
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.58 / $7.58 / $7.58	Facility		$7.58	$7.58	$7.58
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.58 / $55.87 / $74.69	Professional		$7.58	$55.87	$74.69
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $6.37 / $6.37 / $6.37	Professional		$6.37	$6.37	$6.37
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.37 / $88.75 / $244.80	Facility		$42.37	$88.75	$244.80
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $43.43 / $151.54 / $254.50	Facility		$43.43	$151.54	$254.50
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $43.88 / $59.86 / $117.23	Professional		$43.88	$59.86	$117.23
United Facility/Professional Professional Modifier Low / Median / High Price $26.10 / $37.28 / $93.21	Professional		$26.10	$37.28	$93.21
Univera Facility/Professional Facility Modifier Low / Median / High Price $71.45 / $71.45 / $108.35	Facility		$71.45	$71.45	$108.35
Univera Facility/Professional Professional Modifier Low / Median / High Price $48.36 / $65.15 / $80.47	Professional		$48.36	$65.15	$80.47