Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.16 / $107.99 / $279.00	Facility		$57.16	$107.99	$279.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.90 / $63.19 / $91.23	Professional		$51.90	$63.19	$91.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.52 / $51.40 / $56.63	Professional		$50.52	$51.40	$56.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.57 / $58.24 / $91.11	Professional		$46.57	$58.24	$91.11
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $83.44 / $83.44 / $83.44	Facility		$83.44	$83.44	$83.44
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $83.44 / $83.44 / $93.95	Professional		$83.44	$83.44	$93.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.50 / $102.50 / $102.50	Facility		$102.50	$102.50	$102.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.82 / $67.00 / $179.87	Professional		$46.82	$67.00	$179.87
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $52.37 / $52.37 / $319.00	Facility		$52.37	$52.37	$319.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $72.25 / $100.76 / $144.97	Professional		$72.25	$100.76	$144.97
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.59 / $56.59 / $66.81	Facility		$56.59	$56.59	$66.81
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.67 / $84.98 / $145.06	Professional		$53.67	$84.98	$145.06
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.75 / $90.75 / $90.75	Professional		$90.75	$90.75	$90.75
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $102.50 / $102.50 / $555.00	Facility		$102.50	$102.50	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $47.00 / $69.00 / $169.32	Professional		$47.00	$69.00	$169.32
Optum Facility/Professional Professional Modifier Low / Median / High Price $51.25 / $62.19 / $76.67	Professional		$51.25	$62.19	$76.67
United Facility/Professional Professional Modifier Low / Median / High Price $54.00 / $69.68 / $149.55	Professional		$54.00	$69.68	$149.55
Univera Facility/Professional Facility Modifier Low / Median / High Price $66.81 / $72.36 / $72.36	Facility		$66.81	$72.36	$72.36
Univera Facility/Professional Professional Modifier Low / Median / High Price $66.81 / $90.53 / $153.84	Professional		$66.81	$90.53	$153.84