Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.16 / $57.82 / $104.98	Facility		$26.16	$57.82	$104.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.98 / $27.46 / $29.13	Professional		$23.98	$27.46	$29.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.50 / $15.50 / $15.50	Professional		$15.50	$15.50	$15.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.29 / $32.29 / $83.98	Facility		$32.29	$32.29	$83.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.41 / $19.54 / $72.90	Professional		$15.41	$19.54	$72.90
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $19.38 / $32.29 / $32.29	Facility		$19.38	$32.29	$32.29
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $23.58 / $32.29 / $32.29	Professional		$23.58	$32.29	$32.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.57 / $65.72 / $332.50	Facility		$22.57	$65.72	$332.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.08 / $36.15 / $207.49	Professional		$24.08	$36.15	$207.49
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $20.10 / $41.99 / $332.00	Facility		$20.10	$41.99	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $12.92 / $19.38 / $59.11	Professional		$12.92	$19.38	$59.11
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.45 / $32.29 / $41.37	Professional		$27.45	$32.29	$41.37
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.87 / $45.74 / $144.58	Facility		$27.87	$45.74	$144.58
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $29.61 / $79.18 / $385.61	Facility		$29.61	$79.18	$385.61
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $44.40 / $80.00	Professional		$25.70	$44.40	$80.00
United Facility/Professional Professional Modifier Low / Median / High Price $13.57 / $19.38 / $50.71	Professional		$13.57	$19.38	$50.71
Univera Facility/Professional Facility Modifier Low / Median / High Price $37.14 / $37.14 / $118.99	Facility		$37.14	$37.14	$118.99
Univera Facility/Professional Professional Modifier Low / Median / High Price $28.47 / $36.10 / $42.87	Professional		$28.47	$36.10	$42.87