Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.94 / $54.14 / $63.88	Facility		$45.94	$54.14	$63.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.78 / $57.58 / $71.77	Professional		$48.78	$57.58	$71.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $59.52 / $59.52 / $59.52	Professional		$59.52	$59.52	$59.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.38 / $61.32 / $113.57	Professional		$49.38	$61.32	$113.57
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $86.23 / $86.23 / $86.23	Facility		$86.23	$86.23	$86.23
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $86.23 / $86.23 / $91.48	Professional		$86.23	$86.23	$91.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.31 / $78.31 / $78.31	Facility		$78.31	$78.31	$78.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.95 / $55.95 / $55.95	Professional		$55.95	$55.95	$55.95
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $57.84 / $91.01 / $332.00	Facility		$57.84	$91.01	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $68.88 / $85.77 / $128.36	Professional		$68.88	$85.77	$128.36
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.79 / $59.15 / $75.12	Facility		$57.79	$59.15	$75.12
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.87 / $75.12 / $128.21	Professional		$56.87	$75.12	$128.21
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.15 / $59.15 / $59.15	Professional		$59.15	$59.15	$59.15
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $78.31 / $78.31 / $78.31	Facility		$78.31	$78.31	$78.31
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $55.38 / $55.95 / $145.19	Professional		$55.38	$55.95	$145.19
United Facility/Professional Facility Modifier Low / Median / High Price $83.65 / $83.65 / $88.75	Facility		$83.65	$83.65	$88.75
United Facility/Professional Professional Modifier Low / Median / High Price $53.42 / $74.38 / $144.10	Professional		$53.42	$74.38	$144.10
Univera Facility/Professional Facility Modifier Low / Median / High Price $57.01 / $59.15 / $75.12	Facility		$57.01	$59.15	$75.12
Univera Facility/Professional Professional Modifier Low / Median / High Price $61.11 / $79.63 / $149.72	Professional		$61.11	$79.63	$149.72