Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.00 / $95.33 / $201.00	Facility		$54.00	$95.33	$201.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.42 / $82.50 / $195.98	Professional		$56.42	$82.50	$195.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.26 / $100.89 / $155.02	Professional		$74.26	$100.89	$155.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.76 / $50.20 / $141.28	Professional		$0.76	$50.20	$141.28
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $100.80 / $100.80 / $100.80	Facility		$100.80	$100.80	$100.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $100.80 / $100.80 / $100.80	Professional		$100.80	$100.80	$100.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.00 / $91.96 / $91.96	Facility		$81.00	$91.96	$91.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.64 / $105.34 / $186.05	Professional		$61.64	$105.34	$186.05
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $98.70 / $332.00	Facility		$30.00	$98.70	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $40.79 / $81.13 / $155.94	Professional		$40.79	$81.13	$155.94
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.74 / $88.82 / $149.93	Professional		$26.74	$88.82	$149.93
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $97.10 / $97.10 / $114.75	Professional		$97.10	$97.10	$114.75
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.51 / $103.38 / $190.60	Professional		$73.51	$103.38	$190.60
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $81.00 / $91.96 / $74,999.25	Facility		$81.00	$91.96	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $64.87 / $104.39 / $196.22	Professional		$64.87	$104.39	$196.22
Optum Facility/Professional Professional Modifier Low / Median / High Price $81.14 / $95.00 / $151.00	Professional		$81.14	$95.00	$151.00
United Facility/Professional Professional Modifier Low / Median / High Price $57.25 / $88.27 / $167.41	Professional		$57.25	$88.27	$167.41
Univera Facility/Professional Facility Modifier Low / Median / High Price $77.88 / $77.88 / $244.19	Facility		$77.88	$77.88	$244.19
Univera Facility/Professional Professional Modifier Low / Median / High Price $63.92 / $93.46 / $205.79	Professional		$63.92	$93.46	$205.79