Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.64 / $86.22 / $181.75	Facility		$34.64	$86.22	$181.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.25 / $35.43 / $44.83	Professional		$30.25	$35.43	$44.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.55 / $19.55 / $19.55	Professional		$19.55	$19.55	$19.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.75 / $40.75 / $105.95	Facility		$40.75	$40.75	$105.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.44 / $24.65 / $91.97	Professional		$19.44	$24.65	$91.97
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $24.45 / $40.75 / $40.75	Facility		$24.45	$40.75	$40.75
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $29.75 / $40.75 / $40.75	Professional		$29.75	$40.75	$40.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.47 / $82.68 / $419.36	Facility		$28.47	$82.68	$419.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.37 / $45.66 / $262.57	Professional		$30.37	$45.66	$262.57
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $28.60 / $57.05 / $332.00	Facility		$28.60	$57.05	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $24.45 / $74.56	Professional		$18.62	$24.45	$74.56
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.75 / $40.75 / $40.75	Facility		$40.75	$40.75	$40.75
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.92 / $40.75 / $52.57	Professional		$35.92	$40.75	$52.57
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $20.38 / $20.38 / $20.38	Professional		$20.38	$20.38	$20.38
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.32 / $80.64 / $181.98	Facility		$28.32	$80.64	$181.98
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $37.35 / $99.61 / $486.63	Facility		$37.35	$99.61	$486.63
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $32.61 / $46.67 / $83.95	Professional		$32.61	$46.67	$83.95
United Facility/Professional Professional Modifier Low / Median / High Price $17.12 / $24.45 / $63.97	Professional		$17.12	$24.45	$63.97
Univera Facility/Professional Facility Modifier Low / Median / High Price $46.86 / $46.86 / $150.10	Facility		$46.86	$46.86	$150.10
Univera Facility/Professional Professional Modifier Low / Median / High Price $35.92 / $45.77 / $54.09	Professional		$35.92	$45.77	$54.09