Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.68 / $60.55 / $86.39	Facility		$41.68	$60.55	$86.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.27 / $46.66 / $79.83	Professional		$36.27	$46.66	$79.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.53 / $38.53 / $38.53	Professional		$38.53	$38.53	$38.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.52 / $49.89 / $91.00	Professional		$37.52	$49.89	$91.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $56.53 / $56.53 / $56.53	Facility		$56.53	$56.53	$56.53
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $56.53 / $56.53 / $69.42	Professional		$56.53	$56.53	$69.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.65 / $137.00 / $211.81	Facility		$62.65	$137.00	$211.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.32 / $69.78 / $163.34	Professional		$36.32	$69.78	$163.34
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $44.93 / $79.80 / $332.00	Facility		$44.93	$79.80	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $49.96 / $65.25 / $97.13	Professional		$49.96	$65.25	$97.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.11 / $59.98 / $110.60	Professional		$38.11	$59.98	$110.60
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.75 / $114.75 / $114.75	Professional		$114.75	$114.75	$114.75
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $62.65 / $192.55 / $597.00	Facility		$62.65	$192.55	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $39.97 / $77.25 / $156.37	Professional		$39.97	$77.25	$156.37
United Facility/Professional Professional Modifier Low / Median / High Price $43.96 / $57.96 / $157.76	Professional		$43.96	$57.96	$157.76
Univera Facility/Professional Facility Modifier Low / Median / High Price $45.16 / $45.16 / $138.86	Facility		$45.16	$45.16	$138.86
Univera Facility/Professional Professional Modifier Low / Median / High Price $39.36 / $64.68 / $114.15	Professional		$39.36	$64.68	$114.15