Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.23 / $92.87 / $156.97	Facility		$70.23	$92.87	$156.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.28 / $83.48 / $114.32	Professional		$66.28	$83.48	$114.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $73.95 / $81.27 / $82.61	Professional		$73.95	$81.27	$82.61
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 $68.16 / $87.49 / $139.58	Professional		$68.16	$87.49	$139.58
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $115.22 / $115.22 / $115.22	Facility		$115.22	$115.22	$115.22
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $115.22 / $115.22 / $128.59	Professional		$115.22	$115.22	$128.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $124.93 / $124.93 / $124.93	Facility		$124.93	$124.93	$124.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.00 / $91.00 / $188.87	Professional		$67.00	$91.00	$188.87
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $69.20 / $69.20 / $319.00	Facility		$69.20	$69.20	$319.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $81.20 / $112.19 / $161.86	Professional		$81.20	$112.19	$161.86
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.85 / $71.70 / $82.47	Facility		$46.85	$71.70	$82.47
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.34 / $81.54 / $161.15	Professional		$67.34	$81.54	$161.15
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $70.00 / $70.00	Professional		$70.00	$70.00	$70.00
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.91 / $94.91 / $95.95	Professional		$94.91	$94.91	$95.95
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $124.93 / $124.93 / $555.00	Facility		$124.93	$124.93	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $68.00 / $91.00 / $195.00	Professional		$68.00	$91.00	$195.00
Optum Facility/Professional Professional Modifier Low / Median / High Price $73.84 / $92.94 / $119.51	Professional		$73.84	$92.94	$119.51
United Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $98.43 / $210.92	Professional		$75.00	$98.43	$210.92
Univera Facility/Professional Facility Modifier Low / Median / High Price $46.85 / $81.54 / $92.55	Facility		$46.85	$81.54	$92.55
Univera Facility/Professional Professional Modifier Low / Median / High Price $67.34 / $108.71 / $196.76	Professional		$67.34	$108.71	$196.76