Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.94 / $119.12 / $207.67	Facility		$76.94	$119.12	$207.67
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $127.04 / $127.04 / $127.04	Facility	25	$127.04	$127.04	$127.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.02 / $110.31 / $271.44	Professional		$74.02	$110.31	$271.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $107.07 / $140.02 / $244.96	Professional		$107.07	$140.02	$244.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.76 / $73.20 / $205.92	Professional		$0.76	$73.20	$205.92
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $148.58 / $148.58 / $148.58	Facility		$148.58	$148.58	$148.58
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $148.58 / $148.58 / $148.58	Professional		$148.58	$148.58	$148.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $113.00 / $129.88 / $129.88	Facility		$113.00	$129.88	$129.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.69 / $153.94 / $271.07	Professional		$88.69	$153.94	$271.07
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $139.63 / $332.00	Facility		$30.00	$139.63	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $114.34 / $154.72 / $233.08	Professional		$114.34	$154.72	$233.08
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.33 / $125.67 / $211.70	Professional		$38.33	$125.67	$211.70
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $129.58 / $136.94 / $139.74	Professional		$129.58	$136.94	$139.74
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.54 / $147.72 / $279.00	Professional		$117.54	$147.72	$279.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $113.00 / $129.88 / $74,999.25	Facility		$113.00	$129.88	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $92.11 / $150.27 / $271.07	Professional		$92.11	$150.27	$271.07
Optum Facility/Professional Professional Modifier Low / Median / High Price $95.00 / $114.88 / $222.11	Professional		$95.00	$114.88	$222.11
United Facility/Professional Professional Modifier Low / Median / High Price $83.49 / $126.44 / $236.46	Professional		$83.49	$126.44	$236.46
Univera Facility/Professional Facility Modifier Low / Median / High Price $109.97 / $109.97 / $332.91	Facility		$109.97	$109.97	$332.91
Univera Facility/Professional Professional Modifier Low / Median / High Price $93.48 / $131.97 / $290.58	Professional		$93.48	$131.97	$290.58