Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.49 / $80.37 / $134.43	Facility		$32.49	$80.37	$134.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.01 / $33.95 / $43.39	Professional		$28.01	$33.95	$43.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.11 / $18.11 / $18.11	Professional		$18.11	$18.11	$18.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.72 / $37.72 / $98.10	Facility		$37.72	$37.72	$98.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.09 / $22.82 / $85.15	Professional		$17.09	$22.82	$85.15
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $22.64 / $37.72 / $37.72	Facility		$22.64	$37.72	$37.72
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $37.72 / $37.72	Professional		$27.54	$37.72	$37.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.37 / $79.69 / $386.39	Facility		$26.37	$79.69	$386.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.98 / $42.37 / $240.54	Professional		$27.98	$42.37	$240.54
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $23.60 / $49.05 / $332.00	Facility		$23.60	$49.05	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $16.14 / $22.45 / $69.05	Professional		$16.14	$22.45	$69.05
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.40 / $23.40 / $23.40	Facility		$23.40	$23.40	$23.40
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.40 / $35.84 / $45.35	Professional		$23.40	$35.84	$45.35
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.74 / $94.62 / $168.07	Facility		$31.74	$94.62	$168.07
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $34.57 / $91.95 / $450.46	Facility		$34.57	$91.95	$450.46
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $30.05 / $51.85 / $77.72	Professional		$30.05	$51.85	$77.72
United Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $22.64 / $69.66	Professional		$15.85	$22.64	$69.66
Univera Facility/Professional Facility Modifier Low / Median / High Price $43.39 / $43.39 / $129.29	Facility		$43.39	$43.39	$129.29
Univera Facility/Professional Professional Modifier Low / Median / High Price $30.80 / $39.54 / $50.07	Professional		$30.80	$39.54	$50.07