Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.72 / $82.22 / $211.20	Facility		$32.72	$82.22	$211.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.58 / $33.47 / $37.82	Professional		$28.58	$33.47	$37.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.48 / $18.48 / $18.48	Professional		$18.48	$18.48	$18.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.50 / $38.50 / $100.10	Facility		$38.50	$38.50	$100.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.01 / $23.48 / $93.21	Professional		$19.01	$23.48	$93.21
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $23.10 / $38.50 / $38.50	Facility		$23.10	$38.50	$38.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $28.11 / $38.50 / $38.50	Professional		$28.11	$38.50	$38.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.90 / $77.73 / $395.41	Facility		$26.90	$77.73	$395.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.63 / $43.47 / $246.04	Professional		$28.63	$43.47	$246.04
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $28.60 / $53.90 / $332.00	Facility		$28.60	$53.90	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $15.40 / $23.10 / $70.45	Professional		$15.40	$23.10	$70.45
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.43 / $36.97 / $46.27	Professional		$31.43	$36.97	$46.27
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $25.03 / $25.03 / $25.03	Professional		$25.03	$25.03	$25.03
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.66 / $46.70 / $146.91	Facility		$25.66	$46.70	$146.91
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.41 / $25.66 / $25.66	Professional		$25.41	$25.66	$25.66
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $35.29 / $93.65 / $459.60	Facility		$35.29	$93.65	$459.60
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $30.84 / $52.92 / $84.49	Professional		$30.84	$52.92	$84.49
United Facility/Professional Professional Modifier Low / Median / High Price $16.17 / $23.10 / $60.44	Professional		$16.17	$23.10	$60.44
Univera Facility/Professional Facility Modifier Low / Median / High Price $44.27 / $44.27 / $141.78	Facility		$44.27	$44.27	$141.78
Univera Facility/Professional Professional Modifier Low / Median / High Price $31.43 / $40.36 / $51.09	Professional		$31.43	$40.36	$51.09