Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.47 / $104.61 / $301.43	Facility		$65.47	$104.61	$301.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.47 / $79.79 / $297.97	Professional		$65.47	$79.79	$297.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $133.29 / $133.29	Professional		$100.00	$133.29	$133.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.69 / $67.87 / $113.13	Professional		$57.69	$67.87	$113.13
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $108.08 / $108.08 / $108.08	Facility		$108.08	$108.08	$108.08
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $108.08 / $108.08 / $108.08	Professional		$108.08	$108.08	$108.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.12 / $86.12 / $86.12	Facility		$86.12	$86.12	$86.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.85 / $92.63 / $235.27	Professional		$59.85	$92.63	$235.27
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $48.61 / $89.87 / $332.00	Facility		$48.61	$89.87	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $81.87 / $99.26 / $158.01	Professional		$81.87	$99.26	$158.01
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.93 / $92.62 / $158.11	Professional		$58.93	$92.62	$158.11
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $367.60 / $367.60 / $436.45	Facility		$367.60	$367.60	$436.45
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $86.12 / $86.12 / $74,999.25	Facility		$86.12	$86.12	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $63.98 / $102.34 / $214.73	Professional		$63.98	$102.34	$214.73
United Facility/Professional Professional Modifier Low / Median / High Price $63.26 / $86.41 / $178.30	Professional		$63.26	$86.41	$178.30
Univera Facility/Professional Facility Modifier Low / Median / High Price $81.77 / $81.77 / $101.50	Facility		$81.77	$81.77	$101.50
Univera Facility/Professional Professional Modifier Low / Median / High Price $60.95 / $81.77 / $158.11	Professional		$60.95	$81.77	$158.11