Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.64 / $57.64 / $151.94	Facility		$57.64	$57.64	$151.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.91 / $63.00 / $105.12	Professional		$28.91	$63.00	$105.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $76.68 / $76.68 / $76.68	Professional		$76.68	$76.68	$76.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.79 / $73.84 / $161.66	Professional		$33.79	$73.84	$161.66
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $46.53 / $46.53 / $46.53	Facility		$46.53	$46.53	$46.53
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $46.53 / $46.53 / $119.58	Professional		$46.53	$46.53	$119.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.45 / $51.45 / $51.45	Facility		$51.45	$51.45	$51.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.52 / $72.76 / $227.54	Professional		$28.52	$72.76	$227.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $61.78 / $103.26 / $171.08	Professional		$61.78	$103.26	$171.08
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $78.84 / $78.84 / $78.84	Facility		$78.84	$78.84	$78.84
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.03 / $76.59 / $147.68	Professional		$66.03	$76.59	$147.68
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.24 / $99.24 / $99.24	Professional		$99.24	$99.24	$99.24
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $51.45 / $555.00 / $597.00	Facility		$51.45	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $28.52 / $87.48 / $215.16	Professional		$28.52	$87.48	$215.16
United Facility/Professional Professional Modifier Low / Median / High Price $53.46 / $74.45 / $157.78	Professional		$53.46	$74.45	$157.78
Univera Facility/Professional Facility Modifier Low / Median / High Price $78.84 / $78.84 / $78.84	Facility		$78.84	$78.84	$78.84
Univera Facility/Professional Professional Modifier Low / Median / High Price $66.03 / $85.14 / $155.97	Professional		$66.03	$85.14	$155.97