Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.20 / $67.29 / $207.00	Facility		$43.20	$67.29	$207.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.97 / $57.43 / $122.32	Professional		$41.97	$57.43	$122.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.12 / $59.61 / $112.53	Professional		$58.12	$59.61	$112.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.91 / $61.33 / $102.33	Professional		$50.91	$61.33	$102.33
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $70.52 / $70.52 / $70.52	Facility		$70.52	$70.52	$70.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $70.52 / $70.52 / $91.05	Professional		$70.52	$70.52	$91.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.30 / $63.30 / $63.30	Facility		$63.30	$63.30	$63.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.10 / $79.61 / $152.65	Professional		$46.10	$79.61	$152.65
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $73.51 / $332.00	Facility		$45.00	$73.51	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $69.45 / $85.07 / $127.31	Professional		$69.45	$85.07	$127.31
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.84 / $53.36 / $59.97	Facility		$52.84	$53.36	$59.97
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.78 / $74.51 / $126.51	Professional		$52.78	$74.51	$126.51
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.33 / $83.33 / $84.25	Professional		$83.33	$83.33	$84.25
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $63.30 / $63.30 / $75.64	Facility		$63.30	$63.30	$75.64
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $46.10 / $85.41 / $158.11	Professional		$46.10	$85.41	$158.11
United Facility/Professional Professional Modifier Low / Median / High Price $53.42 / $72.83 / $144.44	Professional		$53.42	$72.83	$144.44
Univera Facility/Professional Facility Modifier Low / Median / High Price $46.09 / $58.67 / $108.46	Facility		$46.09	$58.67	$108.46
Univera Facility/Professional Professional Modifier Low / Median / High Price $60.30 / $78.98 / $122.47	Professional		$60.30	$78.98	$122.47