Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $64.57 / $83.18	Facility		$57.54	$64.57	$83.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $64.57 / $95.50	Professional		$51.29	$64.57	$95.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $56.23 / $75.86	Professional		$45.71	$56.23	$75.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.79 / $64.57 / $85.11	Professional		$0.79	$64.57	$85.11
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Facility		$85.11	$85.11	$85.11
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $97.72	Professional		$85.11	$85.11	$97.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $109.65 / $109.65	Facility		$46.77	$109.65	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $70.79 / $154.88	Professional		$50.12	$70.79	$154.88
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $223.87	Facility		$54.95	$54.95	$223.87
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $95.50 / $147.91	Professional		$89.13	$95.50	$147.91
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $134.90	Facility		$70.79	$70.79	$134.90
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $87.10 / $154.88	Professional		$51.29	$87.10	$154.88
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $61.66 / $70.79	Professional		$58.88	$61.66	$70.79
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $79.43 / $151.36	Professional		$54.95	$79.43	$151.36
Optum Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $66.07 / $93.33	Professional		$4.79	$66.07	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $70.79 / $151.36	Professional		$40.74	$70.79	$151.36
Univera Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $79.43 / $134.90	Facility		$53.70	$79.43	$134.90
Univera Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $81.28 / $154.88	Professional		$51.29	$81.28	$154.88