Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $128.82 / $223.87	Facility		$83.18	$128.82	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $120.23 / $354.81	Professional		$75.86	$120.23	$354.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $112.20 / $169.82	Professional		$95.50	$112.20	$169.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.78 / $1.05 / $223.87	Professional		$0.78	$1.05	$223.87
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Facility		$144.54	$144.54	$144.54
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Professional		$144.54	$144.54	$144.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $181.97 / $50,118.72	Facility		$169.82	$181.97	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $151.36 / $331.13	Professional		$87.10	$151.36	$331.13
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $120.23 / $275.42	Facility		$30.20	$120.23	$275.42
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $109.65 / $208.93	Professional		$48.98	$109.65	$208.93
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $123.03 / $218.78	Professional		$38.02	$123.03	$218.78
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Professional		$74.13	$74.13	$74.13
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $134.90 / $288.40	Professional		$109.65	$134.90	$288.40
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $50,118.72 / $75,857.76	Facility		$81.28	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $144.54 / $239.88	Professional		$114.82	$144.54	$239.88
Optum Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $112.20 / $213.80	Professional		$70.79	$112.20	$213.80
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $117.49 / $234.42	Professional		$72.44	$117.49	$234.42
Univera Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $97.72 / $275.42	Facility		$51.29	$97.72	$275.42
Univera Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $125.89 / $302.00	Professional		$38.02	$125.89	$302.00