Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $79.43 / $213.80	Facility		$29.51	$79.43	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $40.74 / $107.15	Professional		$25.12	$40.74	$107.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $35.48	Professional		$35.48	$35.48	$35.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $35.48 / $91.20	Facility		$35.48	$35.48	$91.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $91.20	Professional		$17.38	$17.38	$91.20
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $35.48 / $35.48	Facility		$20.89	$35.48	$35.48
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $35.48 / $35.48	Professional		$25.70	$35.48	$35.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $87.10 / $380.19	Facility		$26.92	$87.10	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $52.48 / $186.21	Professional		$25.12	$52.48	$186.21
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $40.74 / $95.50	Facility		$21.88	$40.74	$95.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $29.51 / $66.07	Professional		$24.55	$29.51	$66.07
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Facility		$21.88	$21.88	$21.88
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $33.11 / $63.10	Professional		$22.91	$33.11	$63.10
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $69.18 / $154.88	Facility		$23.44	$69.18	$154.88
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $63.10 / $50,118.72	Facility		$35.48	$63.10	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $44.67	Professional		$35.48	$35.48	$44.67
United Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $35.48 / $41.69	Facility		$31.62	$35.48	$41.69
United Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $20.89 / $52.48	Professional		$14.79	$20.89	$52.48
Univera Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $25.70 / $85.11	Facility		$21.88	$25.70	$85.11
Univera Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $35.48 / $109.65	Professional		$25.70	$35.48	$109.65