Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.36 / $66.65 / $94.02	Facility		$50.36	$66.65	$94.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.80 / $55.23 / $100.57	Professional		$46.80	$55.23	$100.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $52.58 / $52.58 / $52.58	Professional		$52.58	$52.58	$52.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.40 / $57.78 / $94.92	Professional		$45.40	$57.78	$94.92
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $74.69 / $74.69 / $74.69	Facility		$74.69	$74.69	$74.69
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $74.69 / $74.69 / $76.13	Professional		$74.69	$74.69	$76.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.89 / $80.89 / $80.89	Facility		$80.89	$80.89	$80.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.69 / $79.77 / $182.29	Professional		$40.69	$79.77	$182.29
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $21.47 / $60.81 / $332.00	Facility		$21.47	$60.81	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $52.56 / $68.72 / $102.84	Professional		$52.56	$68.72	$102.84
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.50 / $63.50 / $119.90	Professional		$41.50	$63.50	$119.90
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $563.20 / $563.20 / $563.20	Facility		$563.20	$563.20	$563.20
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.66 / $58.03 / $107.92	Professional		$56.66	$58.03	$107.92
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $80.89 / $80.89 / $597.00	Facility		$80.89	$80.89	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $43.70 / $78.54 / $176.56	Professional		$43.70	$78.54	$176.56
United Facility/Professional Professional Modifier Low / Median / High Price $46.34 / $61.61 / $140.10	Professional		$46.34	$61.61	$140.10
Univera Facility/Professional Facility Modifier Low / Median / High Price $59.88 / $59.88 / $75.93	Facility		$59.88	$59.88	$75.93
Univera Facility/Professional Professional Modifier Low / Median / High Price $42.67 / $66.04 / $130.90	Professional		$42.67	$66.04	$130.90