Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $162.03 / $275.17	Facility		$85.00	$162.03	$275.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.63 / $120.00 / $124.85	Professional		$55.63	$120.00	$124.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $27.00 / $27.00	Professional		$27.00	$27.00	$27.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $260.00	Facility		$100.00	$100.00	$260.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $60.50 / $172.00	Professional		$40.00	$60.50	$172.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $100.00 / $100.00	Facility		$60.00	$100.00	$100.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $73.00 / $100.00 / $100.00	Professional		$73.00	$100.00	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.88 / $202.81 / $259.88	Facility		$69.88	$202.81	$259.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.61 / $101.18 / $482.00	Professional		$57.61	$101.18	$482.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $36.00 / $130.00 / $332.00	Facility		$36.00	$130.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $45.70 / $59.50 / $183.00	Professional		$45.70	$59.50	$183.00
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 / $71.95 / $104.84	Professional		$50.50	$71.95	$104.84
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $37.88 / $37.88 / $37.88	Professional		$37.88	$37.88	$37.88
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.00 / $79.15 / $359.08	Facility		$41.00	$79.15	$359.08
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $69.88 / $212.03 / $349.17	Facility		$69.88	$212.03	$349.17
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $59.90 / $86.59 / $164.75	Professional		$59.90	$86.59	$164.75
United Facility/Professional Professional Modifier Low / Median / High Price $35.40 / $49.00 / $150.00	Professional		$35.40	$49.00	$150.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $115.00 / $115.00 / $151.13	Facility		$115.00	$115.00	$151.13
Univera Facility/Professional Professional Modifier Low / Median / High Price $53.81 / $86.64 / $120.19	Professional		$53.81	$86.64	$120.19