Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.70 / $78.86 / $202.73	Facility		$32.70	$78.86	$202.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.81 / $31.59 / $63.66	Professional		$22.81	$31.59	$63.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.79 / $35.79 / $35.79	Professional		$35.79	$35.79	$35.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $35.09 / $91.23	Facility		$35.09	$35.09	$91.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $24.04 / $94.83	Professional		$17.32	$24.04	$94.83
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $21.05 / $35.09 / $35.09	Facility		$21.05	$35.09	$35.09
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $25.62 / $35.09 / $35.09	Professional		$25.62	$35.09	$35.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.10 / $85.98 / $377.22	Facility		$43.10	$85.98	$377.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.98 / $62.66 / $140.18	Professional		$26.98	$62.66	$140.18
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $22.10 / $45.62 / $332.00	Facility		$22.10	$45.62	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $24.56 / $36.61 / $65.62	Professional		$24.56	$36.61	$65.62
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.64 / $21.64 / $21.64	Facility		$21.64	$21.64	$21.64
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.64 / $33.34 / $57.66	Professional		$21.64	$33.34	$57.66
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $31.58 / $37.54 / $42.11	Professional		$31.58	$37.54	$42.11
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $62.52 / $155.59	Facility		$23.44	$62.52	$155.59
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.38 / $23.38 / $23.38	Professional		$23.38	$23.38	$23.38
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $34.22 / $85.98 / $419.14	Facility		$34.22	$85.98	$419.14
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $28.16 / $59.65 / $133.16	Professional		$28.16	$59.65	$133.16
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $21.05 / $54.39	Professional		$14.74	$21.05	$54.39
Univera Facility/Professional Facility Modifier Low / Median / High Price $40.35 / $40.35 / $129.29	Facility		$40.35	$40.35	$129.29
Univera Facility/Professional Professional Modifier Low / Median / High Price $27.64 / $35.09 / $93.25	Professional		$27.64	$35.09	$93.25