Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.70 / $70.18 / $167.40	Facility		$32.70	$70.18	$167.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.81 / $30.38 / $40.70	Professional		$22.81	$30.38	$40.70
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 / $26.94 / $91.70	Professional		$17.32	$26.94	$91.70
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 / $74.13 / $94.08	Facility		$43.10	$74.13	$94.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.49 / $60.95 / $131.74	Professional		$26.49	$60.95	$131.74
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $31.00 / $52.64 / $332.00	Facility		$31.00	$52.64	$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 $28.13 / $28.13 / $28.13	Facility		$28.13	$28.13	$28.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.13 / $34.65 / $52.74	Professional		$28.13	$34.65	$52.74
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $28.13 / $28.13 / $31.58	Professional		$28.13	$28.13	$31.58
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.27 / $87.72 / $146.09	Facility		$23.27	$87.72	$146.09
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $34.22 / $85.98 / $254.50	Facility		$34.22	$85.98	$254.50
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $28.16 / $63.00 / $120.93	Professional		$28.16	$63.00	$120.93
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $21.05 / $55.13	Professional		$14.74	$21.05	$55.13
Univera Facility/Professional Facility Modifier Low / Median / High Price $40.35 / $40.35 / $61.09	Facility		$40.35	$40.35	$61.09
Univera Facility/Professional Professional Modifier Low / Median / High Price $29.83 / $35.93 / $70.03	Professional		$29.83	$35.93	$70.03