Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.50 / $115.06 / $366.85	Facility		$94.50	$115.06	$366.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.91 / $99.09 / $145.60	Professional		$77.91	$99.09	$145.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $71.33 / $83.44 / $103.07	Professional		$71.33	$83.44	$103.07
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 / $96.00 / $134.26	Professional		$0.80	$96.00	$134.26
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $144.13 / $144.13 / $144.13	Facility		$144.13	$144.13	$144.13
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $144.13 / $144.13 / $145.08	Professional		$144.13	$144.13	$145.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.00 / $122.00 / $176.58	Facility		$62.00	$122.00	$176.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.22 / $106.05 / $210.06	Professional		$71.22	$106.05	$210.06
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $30.00 / $319.00	Facility		$30.00	$30.00	$319.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $119.64 / $195.23	Professional		$65.00	$119.64	$195.23
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.36 / $106.27 / $116.39	Facility		$72.36	$106.27	$116.39
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.56 / $108.22 / $184.69	Professional		$67.56	$108.22	$184.69
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $63.00 / $109.09	Professional		$60.00	$63.00	$109.09
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.83 / $85.83 / $300.00	Facility		$85.83	$85.83	$300.00
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.17 / $98.68 / $221.36	Professional		$87.17	$98.68	$221.36
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $62.00 / $122.00 / $246.00	Facility		$62.00	$122.00	$246.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $108.00 / $228.44	Professional		$70.00	$108.00	$228.44
Optum Facility/Professional Professional Modifier Low / Median / High Price $83.00 / $109.21 / $151.53	Professional		$83.00	$109.21	$151.53
United Facility/Professional Facility Modifier Low / Median / High Price $73.63 / $73.63 / $73.63	Facility		$73.63	$73.63	$73.63
United Facility/Professional Professional Modifier Low / Median / High Price $85.96 / $112.85 / $235.63	Professional		$85.96	$112.85	$235.63
Univera Facility/Professional Facility Modifier Low / Median / High Price $106.27 / $111.33 / $125.36	Facility		$106.27	$111.33	$125.36
Univera Facility/Professional Professional Modifier Low / Median / High Price $94.62 / $126.15 / $262.74	Professional		$94.62	$126.15	$262.74