Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.78 / $127.23 / $1,824.00	Facility		$61.78	$127.23	$1,824.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.78 / $75.69 / $129.12	Professional		$61.78	$75.69	$129.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $62.12 / $67.22 / $100.23	Professional		$62.12	$67.22	$100.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.12 / $59.76 / $138.16	Professional		$48.12	$59.76	$138.16
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $102.68 / $102.68 / $102.68	Facility		$102.68	$102.68	$102.68
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $102.68 / $102.68 / $102.68	Professional		$102.68	$102.68	$102.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.95 / $360.00 / $550.00	Facility		$80.95	$360.00	$550.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.51 / $98.83 / $221.44	Professional		$60.51	$98.83	$221.44
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $109.46 / $173.00 / $332.00	Facility		$109.46	$173.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $69.20 / $93.81 / $143.96	Professional		$69.20	$93.81	$143.96
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.34 / $66.34 / $75.93	Facility		$66.34	$66.34	$75.93
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.97 / $88.90 / $151.03	Professional		$57.97	$88.90	$151.03
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $83.20 / $83.20 / $83.20	Professional		$83.20	$83.20	$83.20
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $153.47 / $558.00 / $605.00	Facility		$153.47	$558.00	$605.00
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.34 / $74.20 / $99.28	Professional		$66.34	$74.20	$99.28
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $80.95 / $360.00 / $550.00	Facility		$80.95	$360.00	$550.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $70.45 / $98.88 / $196.80	Professional		$70.45	$98.88	$196.80
United Facility/Professional Facility Modifier Low / Median / High Price $279.00 / $420.00 / $840.00	Facility		$279.00	$420.00	$840.00
United Facility/Professional Professional Modifier Low / Median / High Price $60.06 / $80.43 / $166.08	Professional		$60.06	$80.43	$166.08
Univera Facility/Professional Facility Modifier Low / Median / High Price $66.34 / $75.93 / $251.24	Facility		$66.34	$75.93	$251.24
Univera Facility/Professional Professional Modifier Low / Median / High Price $57.97 / $88.90 / $180.21	Professional		$57.97	$88.90	$180.21