Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.67 / $131.60 / $269.77	Facility		$52.67	$131.60	$269.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.11 / $54.02 / $61.98	Professional		$50.11	$54.02	$61.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.54 / $29.54 / $29.75	Professional		$29.54	$29.54	$29.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.98 / $61.98 / $161.15	Facility		$61.98	$61.98	$161.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.56 / $37.49 / $139.88	Professional		$29.56	$37.49	$139.88
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $37.19 / $61.98 / $61.98	Facility		$37.19	$61.98	$61.98
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $45.25 / $61.98 / $61.98	Professional		$45.25	$61.98	$61.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.31 / $130.94 / $638.02	Facility		$43.31	$130.94	$638.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.20 / $69.77 / $298.74	Professional		$46.20	$69.77	$298.74
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $80.56 / $332.00	Facility		$35.00	$80.56	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $28.32 / $37.19 / $113.42	Professional		$28.32	$37.19	$113.42
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.50 / $50.50 / $50.50	Facility		$50.50	$50.50	$50.50
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.50 / $59.51 / $79.84	Professional		$50.50	$59.51	$79.84
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $40.40 / $40.40 / $42.42	Professional		$40.40	$40.40	$42.42
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.30 / $101.90 / $222.09	Facility		$41.30	$101.90	$222.09
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.89 / $41.30 / $41.30	Professional		$40.89	$41.30	$41.30
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $56.81 / $151.54 / $627.17	Facility		$56.81	$151.54	$627.17
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $49.42 / $85.08 / $127.68	Professional		$49.42	$85.08	$127.68
United Facility/Professional Professional Modifier Low / Median / High Price $26.03 / $37.19 / $101.65	Professional		$26.03	$37.19	$101.65
Univera Facility/Professional Facility Modifier Low / Median / High Price $71.28 / $71.28 / $203.61	Facility		$71.28	$71.28	$203.61
Univera Facility/Professional Professional Modifier Low / Median / High Price $53.81 / $67.04 / $81.03	Professional		$53.81	$67.04	$81.03