Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $83.18 / $134.90	Professional		$67.61	$83.18	$134.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $147.91	Professional		$77.62	$77.62	$147.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $95.50 / $190.55	Professional		$75.86	$95.50	$190.55
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Facility		$107.15	$107.15	$107.15
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $128.82	Professional		$107.15	$107.15	$128.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $120.23 / $257.04	Facility		$102.33	$120.23	$257.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $100.00 / $275.42	Professional		$69.18	$100.00	$275.42
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $102.33 / $177.83	Professional		$66.07	$102.33	$177.83
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Facility		$81.28	$81.28	$81.28
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $93.33 / $158.49	Professional		$60.26	$93.33	$158.49
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $112.20 / $151.36	Professional		$81.28	$112.20	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $79.43 / $158.49	Professional		$57.54	$79.43	$158.49
Univera Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Facility		$81.28	$81.28	$81.28
Univera Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $85.11 / $158.49	Professional		$60.26	$85.11	$158.49