Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.05 / $136.91 / $211.56	Facility		$64.05	$136.91	$211.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.05 / $95.45 / $220.40	Professional		$64.05	$95.45	$220.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $235.84 / $235.84 / $235.84	Professional		$235.84	$235.84	$235.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.69 / $108.90 / $196.52	Professional		$78.69	$108.90	$196.52
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $166.90 / $166.90 / $166.90	Facility		$166.90	$166.90	$166.90
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $166.90 / $166.90 / $166.90	Professional		$166.90	$166.90	$166.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.14 / $63.29 / $132.72	Facility		$47.14	$63.29	$132.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.73 / $136.71 / $329.21	Professional		$64.73	$136.71	$329.21
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $139.88 / $332.00	Facility		$30.00	$139.88	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $118.53 / $152.81 / $329.45	Professional		$118.53	$152.81	$329.45
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.95 / $107.61 / $215.08	Professional		$93.95	$107.61	$215.08
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $110.60 / $119.43 / $150.37	Professional		$110.60	$119.43	$150.37
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.97 / $75.97 / $97.69	Facility		$75.97	$75.97	$97.69
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.33 / $113.45 / $123.67	Professional		$72.33	$113.45	$123.67
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $63.29 / $132.72 / $615.02	Facility		$63.29	$132.72	$615.02
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $55.22 / $139.88 / $301.70	Professional		$55.22	$139.88	$301.70
United Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $135.76 / $179.18	Facility		$51.29	$135.76	$179.18
United Facility/Professional Professional Modifier Low / Median / High Price $87.22 / $127.93 / $263.23	Professional		$87.22	$127.93	$263.23
Univera Facility/Professional Facility Modifier Low / Median / High Price $126.05 / $126.05 / $149.49	Facility		$126.05	$126.05	$149.49
Univera Facility/Professional Professional Modifier Low / Median / High Price $93.95 / $126.05 / $276.86	Professional		$93.95	$126.05	$276.86