Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.06 / $155.49 / $373.78	Facility		$104.06	$155.49	$373.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.96 / $110.56 / $148.49	Professional		$90.96	$110.56	$148.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $103.85 / $106.91 / $116.76	Professional		$103.85	$106.91	$116.76
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 $91.85 / $116.02 / $196.49	Professional		$91.85	$116.02	$196.49
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $153.13 / $153.13 / $153.13	Facility		$153.13	$153.13	$153.13
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $153.13 / $153.13 / $169.84	Professional		$153.13	$153.13	$169.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $180.92 / $180.92 / $180.92	Facility		$180.92	$180.92	$180.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $119.00 / $248.69	Professional		$90.00	$119.00	$248.69
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $91.17 / $91.17 / $370.15	Facility		$91.17	$91.17	$370.15
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $106.76 / $161.91 / $229.59	Professional		$106.76	$161.91	$229.59
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $62.27 / $104.00 / $119.60	Facility		$62.27	$104.00	$119.60
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.89 / $114.74 / $224.44	Professional		$73.89	$114.74	$224.44
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $93.00 / $93.00 / $93.00	Professional		$93.00	$93.00	$93.00
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.34 / $126.03 / $126.72	Professional		$125.34	$126.03	$126.72
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $180.92 / $180.92 / $555.00	Facility		$180.92	$180.92	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $92.00 / $119.00 / $261.08	Professional		$92.00	$119.00	$261.08
Optum Facility/Professional Professional Modifier Low / Median / High Price $97.09 / $126.32 / $157.79	Professional		$97.09	$126.32	$157.79
United Facility/Professional Professional Modifier Low / Median / High Price $97.09 / $130.41 / $273.04	Professional		$97.09	$130.41	$273.04
Univera Facility/Professional Facility Modifier Low / Median / High Price $62.27 / $114.74 / $132.68	Facility		$62.27	$114.74	$132.68
Univera Facility/Professional Professional Modifier Low / Median / High Price $73.89 / $151.40 / $282.07	Professional		$73.89	$151.40	$282.07