Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.44 / $70.44 / $1,405.46	Facility		$70.44	$70.44	$1,405.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.44 / $87.66 / $115.38	Professional		$70.44	$87.66	$115.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $80.91 / $80.91 / $80.91	Professional		$80.91	$80.91	$80.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $462.00 / $1,061.00 / $1,138.00	Facility		$462.00	$1,061.00	$1,138.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.11 / $77.14 / $109.18	Professional		$62.11	$77.14	$109.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.00 / $55.00 / $101.77	Facility		$25.00	$55.00	$101.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.01 / $116.62 / $259.67	Professional		$74.01	$116.62	$259.67
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $81.00 / $140.00 / $332.00	Facility		$81.00	$140.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $80.45 / $104.59 / $174.58	Professional		$80.45	$104.59	$174.58
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $84.54 / $84.54 / $96.82	Facility		$84.54	$84.54	$96.82
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.81 / $113.28 / $207.69	Professional		$69.81	$113.28	$207.69
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $314.08 / $485.28 / $690.76	Facility		$314.08	$485.28	$690.76
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $25.00 / $55.00 / $101.77	Facility		$25.00	$55.00	$101.77
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $74.59 / $120.00 / $257.88	Professional		$74.59	$120.00	$257.88
United Facility/Professional Professional Modifier Low / Median / High Price $70.20 / $91.20 / $177.03	Professional		$70.20	$91.20	$177.03
Univera Facility/Professional Facility Modifier Low / Median / High Price $84.54 / $96.82 / $183.96	Facility		$84.54	$96.82	$183.96
Univera Facility/Professional Professional Modifier Low / Median / High Price $77.89 / $122.15 / $229.78	Professional		$77.89	$122.15	$229.78