Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.94 / $87.55 / $167.47	Facility		$73.94	$87.55	$167.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.22 / $86.64 / $121.28	Professional		$71.22	$86.64	$121.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.39 / $87.64 / $87.64	Professional		$77.39	$87.64	$87.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $85.00 / $298.00	Facility		$50.00	$85.00	$298.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.81 / $87.60 / $128.99	Professional		$0.81	$87.60	$128.99
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $117.86 / $117.86 / $117.86	Facility		$117.86	$117.86	$117.86
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $117.86 / $117.86 / $136.00	Professional		$117.86	$117.86	$136.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.25 / $130.25 / $430.38	Facility		$130.25	$130.25	$430.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.00 / $98.00 / $202.34	Professional		$71.00	$98.00	$202.34
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $70.00 / $70.00 / $319.00	Facility		$70.00	$70.00	$319.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $94.78 / $132.80 / $188.12	Professional		$94.78	$132.80	$188.12
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.37 / $78.91 / $78.91	Facility		$59.37	$78.91	$78.91
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.81 / $86.69 / $171.91	Professional		$71.81	$86.69	$171.91
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $115.86 / $115.86 / $117.03	Facility		$115.86	$115.86	$117.03
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.37 / $100.37 / $101.47	Professional		$100.37	$100.37	$101.47
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $130.25 / $130.25 / $555.00	Facility		$130.25	$130.25	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $72.00 / $98.00 / $211.50	Professional		$72.00	$98.00	$211.50
Optum Facility/Professional Professional Modifier Low / Median / High Price $77.97 / $101.43 / $129.79	Professional		$77.97	$101.43	$129.79
United Facility/Professional Professional Modifier Low / Median / High Price $82.35 / $107.35 / $228.37	Professional		$82.35	$107.35	$228.37
Univera Facility/Professional Facility Modifier Low / Median / High Price $86.69 / $96.81 / $96.81	Facility		$86.69	$96.81	$96.81
Univera Facility/Professional Professional Modifier Low / Median / High Price $71.81 / $115.96 / $205.81	Professional		$71.81	$115.96	$205.81