Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.26 / $98.18 / $228.05	Facility		$39.26	$98.18	$228.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.45 / $30.78 / $44.66	Professional		$29.45	$30.78	$44.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.60 / $10.60 / $18.84	Professional		$10.60	$10.60	$18.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.26 / $39.26 / $102.08	Facility		$39.26	$39.26	$102.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.36 / $23.55 / $76.59	Professional		$16.36	$23.55	$76.59
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $23.56 / $39.26 / $39.26	Facility		$23.56	$39.26	$39.26
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $28.66 / $39.26 / $39.26	Professional		$28.66	$39.26	$39.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.43 / $79.84 / $347.43	Facility		$27.43	$79.84	$347.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.16 / $37.58 / $295.64	Professional		$25.16	$37.58	$295.64
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $28.00 / $54.96 / $332.00	Facility		$28.00	$54.96	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $17.94 / $23.56 / $71.84	Professional		$17.94	$23.56	$71.84
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.40 / $34.40 / $34.40	Facility		$34.40	$34.40	$34.40
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.18 / $34.40 / $44.09	Professional		$29.18	$34.40	$44.09
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $27.53 / $27.53 / $27.53	Professional		$27.53	$27.53	$27.53
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.21 / $67.09 / $160.05	Facility		$27.21	$67.09	$160.05
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.16 / $26.16 / $26.16	Professional		$26.16	$26.16	$26.16
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $35.97 / $96.20 / $405.34	Facility		$35.97	$96.20	$405.34
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $27.24 / $40.04 / $74.45	Professional		$27.24	$40.04	$74.45
United Facility/Professional Facility Modifier Low / Median / High Price $35.33 / $35.33 / $39.26	Facility		$35.33	$35.33	$39.26
United Facility/Professional Professional Modifier Low / Median / High Price $16.48 / $23.56 / $57.66	Professional		$16.48	$23.56	$57.66
Univera Facility/Professional Facility Modifier Low / Median / High Price $45.15 / $45.15 / $115.51	Facility		$45.15	$45.15	$115.51
Univera Facility/Professional Professional Modifier Low / Median / High Price $28.32 / $37.29 / $47.19	Professional		$28.32	$37.29	$47.19