Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $81.28 / $138.04	Facility		$38.02	$81.28	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $34.67 / $54.95	Professional		$25.12	$34.67	$54.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $12.59 / $12.59	Professional		$12.59	$12.59	$12.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $120.23	Facility		$46.77	$46.77	$120.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $18.62 / $87.10	Professional		$18.62	$18.62	$87.10
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $46.77 / $46.77	Facility		$27.54	$46.77	$46.77
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $46.77 / $46.77	Professional		$33.88	$46.77	$46.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $100.00 / $371.54	Facility		$35.48	$100.00	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $56.23 / $223.87	Professional		$26.30	$56.23	$223.87
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $46.77 / $125.89	Facility		$6.46	$46.77	$125.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $32.36 / $89.13	Professional		$21.88	$32.36	$89.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $41.69 / $51.29	Professional		$27.54	$41.69	$51.29
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Facility		$204.17	$204.17	$204.17
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $87.10 / $50,118.72	Facility		$38.90	$87.10	$50,118.72
United Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $41.69 / $54.95	Facility		$23.44	$41.69	$54.95
United Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $26.92 / $69.18	Professional		$19.50	$26.92	$69.18
Univera Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $53.70 / $114.82	Facility		$26.92	$53.70	$114.82
Univera Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $46.77 / $114.82	Professional		$29.51	$46.77	$114.82