Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.27 / $100.01 / $177.61	Facility		$69.27	$100.01	$177.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.08 / $91.45 / $136.58	Professional		$69.08	$91.45	$136.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $62.34 / $88.61 / $94.42	Professional		$62.34	$88.61	$94.42
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 $71.79 / $98.37 / $159.51	Professional		$71.79	$98.37	$159.51
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $113.14 / $113.14 / $113.14	Facility		$113.14	$113.14	$113.14
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $113.14 / $113.14 / $146.08	Professional		$113.14	$113.14	$146.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.42 / $125.42 / $125.42	Facility		$125.42	$125.42	$125.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $102.00 / $200.63	Professional		$75.00	$102.00	$200.63
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $68.23 / $68.23 / $319.00	Facility		$68.23	$68.23	$319.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $99.80 / $139.36 / $198.92	Professional		$99.80	$139.36	$198.92
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.28 / $101.32 / $101.32	Facility		$21.28	$101.32	$101.32
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.84 / $91.67 / $182.32	Professional		$76.84	$91.67	$182.32
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Professional		$80.00	$80.00	$80.00
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $123.75 / $123.75 / $206.00	Facility		$123.75	$123.75	$206.00
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.81 / $107.81 / $109.00	Professional		$107.81	$107.81	$109.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $125.42 / $125.42 / $555.00	Facility		$125.42	$125.42	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $77.00 / $102.00 / $214.89	Professional		$77.00	$102.00	$214.89
Optum Facility/Professional Professional Modifier Low / Median / High Price $83.26 / $104.78 / $134.74	Professional		$83.26	$104.78	$134.74
United Facility/Professional Professional Modifier Low / Median / High Price $82.96 / $109.08 / $230.08	Professional		$82.96	$109.08	$230.08
Univera Facility/Professional Facility Modifier Low / Median / High Price $91.67 / $92.95 / $101.32	Facility		$91.67	$92.95	$101.32
Univera Facility/Professional Professional Modifier Low / Median / High Price $76.84 / $122.99 / $209.94	Professional		$76.84	$122.99	$209.94