Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.24 / $114.96 / $263.58	Facility		$51.24	$114.96	$263.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.70 / $52.61 / $90.21	Professional		$42.70	$52.61	$90.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.36 / $25.36 / $25.36	Professional		$25.36	$25.36	$25.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $65.69 / $65.69 / $170.79	Facility		$65.69	$65.69	$170.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.28 / $33.50 / $135.16	Professional		$26.28	$33.50	$135.16
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $39.40 / $65.69 / $65.69	Facility		$39.40	$65.69	$65.69
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $47.95 / $65.69 / $65.69	Professional		$47.95	$65.69	$65.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.41 / $138.78 / $175.11	Facility		$80.41	$138.78	$175.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.86 / $95.99 / $212.61	Professional		$39.86	$95.99	$212.61
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $17.00 / $85.40 / $332.00	Facility		$17.00	$85.40	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $45.98 / $68.53 / $120.21	Professional		$45.98	$68.53	$120.21
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $65.69 / $65.69 / $65.69	Facility		$65.69	$65.69	$65.69
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.06 / $65.69 / $84.74	Professional		$48.06	$65.69	$84.74
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.87 / $108.00 / $220.60	Facility		$52.87	$108.00	$220.60
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.68 / $67.34 / $67.34	Professional		$66.68	$67.34	$67.34
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $64.05 / $160.06 / $254.50	Facility		$64.05	$160.06	$254.50
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $87.44 / $197.07	Professional		$40.00	$87.44	$197.07
United Facility/Professional Professional Modifier Low / Median / High Price $27.59 / $39.40 / $99.56	Professional		$27.59	$39.40	$99.56
Univera Facility/Professional Facility Modifier Low / Median / High Price $69.63 / $69.63 / $69.64	Facility		$69.63	$69.63	$69.64
Univera Facility/Professional Professional Modifier Low / Median / High Price $55.84 / $69.63 / $174.56	Professional		$55.84	$69.63	$174.56