Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.48 / $116.88 / $212.61	Facility		$77.48	$116.88	$212.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.97 / $114.79 / $335.99	Professional		$74.97	$114.79	$335.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $110.95 / $129.19 / $227.14	Professional		$110.95	$129.19	$227.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.76 / $74.79 / $198.93	Professional		$0.76	$74.79	$198.93
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $144.40 / $144.40 / $144.40	Facility		$144.40	$144.40	$144.40
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $144.40 / $144.40 / $144.40	Professional		$144.40	$144.40	$144.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.36 / $135.36 / $168.00	Facility		$135.36	$135.36	$168.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.09 / $147.29 / $266.07	Professional		$84.09	$147.29	$266.07
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $144.07 / $332.00	Facility		$30.00	$144.07	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $41.40 / $117.05 / $222.59	Professional		$41.40	$117.05	$222.59
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.28 / $124.12 / $219.39	Professional		$37.28	$124.12	$219.39
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $79.79 / $140.18 / $165.67	Professional		$79.79	$140.18	$165.67
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.02 / $135.60 / $286.20	Professional		$110.02	$135.60	$286.20
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $135.36 / $168.00 / $74,999.25	Facility		$135.36	$168.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $91.26 / $147.53 / $266.07	Professional		$91.26	$147.53	$266.07
Optum Facility/Professional Professional Modifier Low / Median / High Price $71.25 / $106.36 / $215.12	Professional		$71.25	$106.36	$215.12
United Facility/Professional Professional Modifier Low / Median / High Price $80.06 / $123.80 / $234.66	Professional		$80.06	$123.80	$234.66
Univera Facility/Professional Facility Modifier Low / Median / High Price $51.07 / $113.97 / $299.41	Facility		$51.07	$113.97	$299.41
Univera Facility/Professional Professional Modifier Low / Median / High Price $46.13 / $132.77 / $299.41	Professional		$46.13	$132.77	$299.41