Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.78 / $69.28 / $221.75	Facility		$10.78	$69.28	$221.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.10 / $14.66 / $15.20	Professional		$9.10	$14.66	$15.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.50 / $17.63 / $35.53	Professional		$14.50	$17.63	$35.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.00 / $15.00 / $15.00	Facility		$15.00	$15.00	$15.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.82 / $38.96 / $54.68	Professional		$16.82	$38.96	$54.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.38 / $8.38 / $8.38	Professional		$8.38	$8.38	$8.38
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.36 / $94.85 / $99.16	Facility		$72.36	$94.85	$99.16
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.12 / $116.89 / $213.81	Professional		$68.12	$116.89	$213.81
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $65.45 / $66.64 / $68.75	Facility		$65.45	$66.64	$68.75
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $555.00 / $597.00	Facility		$64.00	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $8.38 / $8.38 / $8.38	Professional		$8.38	$8.38	$8.38
Optum Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $20.26 / $33.42	Professional		$15.00	$20.26	$33.42
United Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $15.00 / $28.94	Professional		$15.00	$15.00	$28.94
Univera Facility/Professional Facility Modifier Low / Median / High Price $90.54 / $94.85 / $111.46	Facility		$90.54	$94.85	$111.46
Univera Facility/Professional Professional Modifier Low / Median / High Price $95.14 / $126.86 / $235.60	Professional		$95.14	$126.86	$235.60