Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.81 / $149.88 / $235.98	Facility		$98.81	$149.88	$235.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.81 / $146.77 / $327.88	Professional		$98.81	$146.77	$327.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $126.77 / $142.43 / $249.25	Professional		$126.77	$142.43	$249.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.76 / $97.57 / $259.97	Professional		$0.76	$97.57	$259.97
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $189.95 / $189.95 / $189.95	Facility		$189.95	$189.95	$189.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $189.95 / $189.95 / $189.95	Professional		$189.95	$189.95	$189.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $149.03 / $149.03 / $167.00	Facility		$149.03	$149.03	$167.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.60 / $194.40 / $338.95	Professional		$109.60	$194.40	$338.95
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $158.41 / $332.00	Facility		$60.00	$158.41	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $48.55 / $129.88 / $245.82	Professional		$48.55	$129.88	$245.82
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.07 / $142.56 / $241.24	Professional		$48.07	$142.56	$241.24
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $155.03 / $158.41 / $158.74	Professional		$155.03	$158.41	$158.74
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.53 / $189.90 / $312.55	Professional		$138.53	$189.90	$312.55
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $149.03 / $167.00 / $74,999.25	Facility		$149.03	$167.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $110.00 / $192.13 / $338.95	Professional		$110.00	$192.13	$338.95
Optum Facility/Professional Professional Modifier Low / Median / High Price $91.75 / $135.16 / $286.05	Professional		$91.75	$135.16	$286.05
United Facility/Professional Professional Modifier Low / Median / High Price $100.11 / $155.60 / $317.58	Professional		$100.11	$155.60	$317.58
Univera Facility/Professional Facility Modifier Low / Median / High Price $125.32 / $125.32 / $390.52	Facility		$125.32	$125.32	$390.52
Univera Facility/Professional Professional Modifier Low / Median / High Price $106.52 / $150.38 / $331.14	Professional		$106.52	$150.38	$331.14