Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.55 / $78.93 / $7,890.30	Facility		$29.55	$78.93	$7,890.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.56 / $36.40 / $59.96	Professional		$31.56	$36.40	$59.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $12.00 / $12.00	Professional		$12.00	$12.00	$12.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.50 / $18.50 / $23.13	Facility		$18.50	$18.50	$23.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.95 / $35.70 / $70.16	Professional		$34.95	$35.70	$70.16
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $75.91 / $75.91 / $75.91	Facility		$75.91	$75.91	$75.91
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $75.91 / $75.91 / $75.91	Professional		$75.91	$75.91	$75.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.03 / $88.54 / $119.78	Facility		$50.03	$88.54	$119.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.54 / $88.54 / $88.54	Professional		$88.54	$88.54	$88.54
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $36.40 / $36.40 / $147.82	Facility		$36.40	$36.40	$147.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $30.95 / $36.40 / $36.40	Professional		$30.95	$36.40	$36.40
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.40 / $36.40 / $36.40	Professional		$36.40	$36.40	$36.40
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.40 / $36.40 / $36.42	Facility		$36.40	$36.40	$36.42
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.40 / $36.40 / $36.40	Professional		$36.40	$36.40	$36.40
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $50.03 / $119.78 / $555.00	Facility		$50.03	$119.78	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $88.54 / $88.54 / $88.54	Professional		$88.54	$88.54	$88.54
United Facility/Professional Professional Modifier Low / Median / High Price $42.84 / $42.84 / $57.83	Professional		$42.84	$42.84	$57.83
Univera Facility/Professional Facility Modifier Low / Median / High Price $36.40 / $64.09 / $64.09	Facility		$36.40	$64.09	$64.09
Univera Facility/Professional Professional Modifier Low / Median / High Price $36.40 / $36.40 / $36.40	Professional		$36.40	$36.40	$36.40