Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.31 / $138.66 / $321.36	Facility		$56.31	$138.66	$321.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.37 / $62.36 / $97.87	Professional		$45.37	$62.36	$97.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.12 / $29.12 / $29.12	Professional		$29.12	$29.12	$29.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.37 / $73.37 / $190.76	Facility		$73.37	$73.37	$190.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.18 / $37.40 / $156.28	Professional		$30.18	$37.40	$156.28
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $44.02 / $73.37 / $73.37	Facility		$44.02	$73.37	$73.37
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $53.56 / $73.37 / $73.37	Professional		$53.56	$73.37	$73.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.73 / $154.99 / $195.60	Facility		$89.73	$154.99	$195.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.74 / $108.48 / $245.32	Professional		$44.74	$108.48	$245.32
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $25.00 / $95.38 / $332.00	Facility		$25.00	$95.38	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $51.36 / $76.55 / $134.27	Professional		$51.36	$76.55	$134.27
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.37 / $73.37 / $73.37	Facility		$73.37	$73.37	$73.37
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.36 / $73.37 / $94.65	Professional		$62.36	$73.37	$94.65
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.17 / $122.67 / $272.00	Facility		$49.17	$122.67	$272.00
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.47 / $75.20 / $75.20	Professional		$74.47	$75.20	$75.20
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $71.54 / $178.79 / $264.33	Facility		$71.54	$178.79	$264.33
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $49.04 / $103.45 / $224.27	Professional		$49.04	$103.45	$224.27
United Facility/Professional Professional Modifier Low / Median / High Price $30.82 / $44.02 / $115.18	Professional		$30.82	$44.02	$115.18
Univera Facility/Professional Facility Modifier Low / Median / High Price $77.77 / $77.77 / $101.54	Facility		$77.77	$77.77	$101.54
Univera Facility/Professional Professional Modifier Low / Median / High Price $62.36 / $73.37 / $101.54	Professional		$62.36	$73.37	$101.54