Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.82 / $68.86 / $156.50	Facility		$29.82	$68.86	$156.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.02 / $26.87 / $39.34	Professional		$22.02	$26.87	$39.34
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 / $91.91	Professional		$17.32	$26.94	$91.91
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 $26.03 / $59.82 / $131.74	Professional		$26.03	$59.82	$131.74
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $51.90 / $332.00	Facility		$30.00	$51.90	$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 / $52.76	Professional		$21.64	$33.34	$52.76
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $21.64 / $21.64 / $42.11	Professional		$21.64	$21.64	$42.11
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.38 / $51.34 / $139.16	Facility		$25.38	$51.34	$139.16
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 $28.07 / $57.44 / $113.71	Professional		$28.07	$57.44	$113.71
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 / $63.28	Facility		$40.35	$40.35	$63.28
Univera Facility/Professional Professional Modifier Low / Median / High Price $27.64 / $35.09 / $75.66	Professional		$27.64	$35.09	$75.66