Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.97 / $65.55 / $118.53	Facility		$23.97	$65.55	$118.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.71 / $27.00 / $30.98	Professional		$12.71	$27.00	$30.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.94 / $13.94 / $13.94	Professional		$13.94	$13.94	$13.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.98 / $30.98 / $80.55	Facility		$30.98	$30.98	$80.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.44 / $15.79 / $51.64	Professional		$9.44	$15.79	$51.64
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $18.59 / $30.98 / $30.98	Facility		$18.59	$30.98	$30.98
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $22.62 / $30.98 / $30.98	Professional		$22.62	$30.98	$30.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.65 / $62.89 / $183.99	Facility		$21.65	$62.89	$183.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.99 / $34.70 / $198.31	Professional		$22.99	$34.70	$198.31
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $17.60 / $40.27 / $332.00	Facility		$17.60	$40.27	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $12.39 / $18.59 / $56.69	Professional		$12.39	$18.59	$56.69
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.33 / $30.98 / $41.12	Professional		$26.33	$30.98	$41.12
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.96 / $78.73 / $120.70	Facility		$26.96	$78.73	$120.70
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $28.40 / $75.77 / $254.50	Facility		$28.40	$75.77	$254.50
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $23.82 / $34.95 / $63.82	Professional		$23.82	$34.95	$63.82
United Facility/Professional Professional Modifier Low / Median / High Price $13.01 / $18.59 / $46.47	Professional		$13.01	$18.59	$46.47
Univera Facility/Professional Facility Modifier Low / Median / High Price $35.63 / $35.63 / $114.10	Facility		$35.63	$35.63	$114.10
Univera Facility/Professional Professional Modifier Low / Median / High Price $27.30 / $34.61 / $43.35	Professional		$27.30	$34.61	$43.35