Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.36 / $108.24 / $339.00	Facility		$39.36	$108.24	$339.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.56 / $43.48 / $139.93	Professional		$33.56	$43.48	$139.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.63 / $40.63 / $40.63	Professional		$40.63	$40.63	$40.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $654.00 / $664.00 / $919.00	Facility		$654.00	$664.00	$919.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.89 / $69.11 / $108.08	Professional		$43.89	$69.11	$108.08
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $90.08 / $90.08 / $133.00	Facility		$90.08	$90.08	$133.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $60.05 / $60.05 / $90.08	Professional		$60.05	$60.05	$90.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.98 / $80.00 / $226.00	Facility		$77.98	$80.00	$226.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.50 / $51.80 / $99.29	Professional		$35.50	$51.80	$99.29
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $27.00 / $108.24 / $332.00	Facility		$27.00	$108.24	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $51.70 / $101.68	Professional		$45.00	$51.70	$101.68
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $65.59 / $81.29 / $82.00	Facility		$65.59	$81.29	$82.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.15 / $65.59 / $122.28	Professional		$48.15	$65.59	$122.28
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 Facility Modifier Low / Median / High Price $104.79 / $104.79 / $104.79	Facility		$104.79	$104.79	$104.79
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.71 / $57.71 / $57.71	Professional		$57.71	$57.71	$57.71
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $77.98 / $555.00 / $597.00	Facility		$77.98	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $41.02 / $67.39 / $134.40	Professional		$41.02	$67.39	$134.40
United Facility/Professional Professional Modifier Low / Median / High Price $46.98 / $61.29 / $105.91	Professional		$46.98	$61.29	$105.91
Univera Facility/Professional Facility Modifier Low / Median / High Price $65.59 / $76.84 / $81.75	Facility		$65.59	$76.84	$81.75
Univera Facility/Professional Professional Modifier Low / Median / High Price $53.89 / $76.84 / $148.69	Professional		$53.89	$76.84	$148.69