Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.69 / $183.52 / $344.98	Facility		$69.69	$183.52	$344.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.01 / $80.09 / $95.76	Professional		$43.01	$80.09	$95.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.22 / $57.22 / $114.43	Professional		$57.22	$57.22	$114.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.43 / $114.43 / $297.52	Facility		$114.43	$114.43	$297.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.98 / $63.95 / $171.61	Professional		$31.98	$63.95	$171.61
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $114.43 / $114.43 / $114.43	Facility		$114.43	$114.43	$114.43
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $83.53 / $114.43 / $114.43	Professional		$83.53	$114.43	$114.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.95 / $231.77 / $296.99	Facility		$79.95	$231.77	$296.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.36 / $60.16 / $149.53	Professional		$38.36	$60.16	$149.53
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $52.55 / $148.76 / $332.00	Facility		$52.55	$148.76	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $41.88 / $67.51 / $209.41	Professional		$41.88	$67.51	$209.41
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.15 / $15.15 / $15.15	Facility		$15.15	$15.15	$15.15
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.15 / $68.03 / $119.96	Professional		$15.15	$68.03	$119.96
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.73 / $143.27 / $509.76	Facility		$61.73	$143.27	$509.76
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $139.97 / $279.24 / $412.22	Facility		$139.97	$279.24	$412.22
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $59.96 / $60.16 / $177.37	Professional		$59.96	$60.16	$177.37
United Facility/Professional Professional Modifier Low / Median / High Price $40.95 / $51.49 / $154.47	Professional		$40.95	$51.49	$154.47
Univera Facility/Professional Facility Modifier Low / Median / High Price $128.40 / $131.59 / $131.59	Facility		$128.40	$131.59	$131.59
Univera Facility/Professional Professional Modifier Low / Median / High Price $48.44 / $82.36 / $137.54	Professional		$48.44	$82.36	$137.54