Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.50 / $115.59 / $396.62	Facility		$94.50	$115.59	$396.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.45 / $96.14 / $136.21	Professional		$74.45	$96.14	$136.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $68.36 / $73.26 / $142.36	Professional		$68.36	$73.26	$142.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $62.00 / $88.00 / $182.00	Facility		$62.00	$88.00	$182.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $92.31 / $126.00	Professional		$0.80	$92.31	$126.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $139.13 / $139.13 / $139.13	Facility		$139.13	$139.13	$139.13
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $139.13 / $139.13 / $140.08	Professional		$139.13	$139.13	$140.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.00 / $119.00 / $169.35	Facility		$58.00	$119.00	$169.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $98.96 / $200.21	Professional		$66.00	$98.96	$200.21
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $90.00 / $365.40	Facility		$90.00	$90.00	$365.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $114.76 / $187.32	Professional		$65.00	$114.76	$187.32
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.36 / $93.02 / $97.24	Facility		$72.36	$93.02	$97.24
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.92 / $104.33 / $176.25	Professional		$62.92	$104.33	$176.25
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $63.00 / $63.00 / $63.00	Professional		$63.00	$63.00	$63.00
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $275.00 / $506.00 / $506.00	Facility		$275.00	$506.00	$506.00
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.70 / $101.43 / $108.08	Professional		$83.70	$101.43	$108.08
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $58.00 / $119.00 / $246.00	Facility		$58.00	$119.00	$246.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $100.00 / $204.46	Professional		$65.00	$100.00	$204.46
Optum Facility/Professional Professional Modifier Low / Median / High Price $74.75 / $105.14 / $145.63	Professional		$74.75	$105.14	$145.63
United Facility/Professional Facility Modifier Low / Median / High Price $61.40 / $61.40 / $61.40	Facility		$61.40	$61.40	$61.40
United Facility/Professional Professional Modifier Low / Median / High Price $81.18 / $109.23 / $230.43	Professional		$81.18	$109.23	$230.43
Univera Facility/Professional Facility Modifier Low / Median / High Price $88.79 / $93.02 / $120.00	Facility		$88.79	$93.02	$120.00
Univera Facility/Professional Professional Modifier Low / Median / High Price $90.29 / $120.39 / $251.97	Professional		$90.29	$120.39	$251.97