Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $100.00 / $501.19	Facility		$28.18	$100.00	$501.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $64.57 / $107.15	Professional		$25.12	$64.57	$107.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $69.18 / $93.33	Professional		$58.88	$69.18	$93.33
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $38.02	Facility		$38.02	$38.02	$38.02
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $104.71	Professional		$38.02	$38.02	$104.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Facility		$42.66	$42.66	$42.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $85.11 / $199.53	Professional		$30.90	$85.11	$199.53
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $117.49	Facility		$28.84	$28.84	$117.49
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $154.88 / $223.87	Professional		$117.49	$154.88	$223.87
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $6.03 / $77.62	Facility		$6.03	$6.03	$77.62
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $100.00 / $169.82	Professional		$54.95	$100.00	$169.82
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $27.54	Professional		$27.54	$27.54	$27.54
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $107.15 / $186.21	Professional		$89.13	$107.15	$186.21
United Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $144.54 / $177.83	Facility		$125.89	$144.54	$177.83
United Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $64.57 / $128.82	Professional		$23.44	$64.57	$128.82
Univera Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $14.45 / $48.98	Facility		$6.03	$14.45	$48.98
Univera Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $89.13 / $138.04	Professional		$63.10	$89.13	$138.04