Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.49 / $115.83 / $386.34	Facility		$57.49	$115.83	$386.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.11 / $63.18 / $92.35	Professional		$52.11	$63.18	$92.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $71.59 / $71.59 / $71.59	Professional		$71.59	$71.59	$71.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.20 / $70.20 / $182.52	Facility		$70.20	$70.20	$182.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.65 / $48.06 / $188.80	Professional		$34.65	$48.06	$188.80
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $42.12 / $70.20 / $70.20	Facility		$42.12	$70.20	$70.20
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $51.25 / $70.20 / $70.20	Professional		$51.25	$70.20	$70.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.92 / $171.13 / $754.40	Facility		$85.92	$171.13	$754.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.91 / $112.66 / $267.39	Professional		$49.91	$112.66	$267.39
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $105.30 / $332.00	Facility		$65.00	$105.30	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $49.14 / $73.23 / $131.27	Professional		$49.14	$73.23	$131.27
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.40 / $40.40 / $40.40	Facility		$40.40	$40.40	$40.40
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.40 / $66.69 / $115.33	Professional		$40.40	$66.69	$115.33
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $40.40 / $63.19 / $75.11	Professional		$40.40	$63.19	$75.11
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.35 / $95.72 / $340.45	Facility		$43.35	$95.72	$340.45
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $84.89	Professional		$46.77	$46.77	$84.89
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $68.45 / $171.13 / $838.22	Facility		$68.45	$171.13	$838.22
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $46.08 / $108.81 / $226.29	Professional		$46.08	$108.81	$226.29
United Facility/Professional Professional Modifier Low / Median / High Price $29.48 / $42.12 / $110.20	Professional		$29.48	$42.12	$110.20
Univera Facility/Professional Facility Modifier Low / Median / High Price $80.73 / $80.73 / $190.58	Facility		$80.73	$80.73	$190.58
Univera Facility/Professional Professional Modifier Low / Median / High Price $51.60 / $70.20 / $169.86	Professional		$51.60	$70.20	$169.86