Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $104.71 / $10,715.19	Facility		$74.13	$104.71	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $77.62 / $177.83	Professional		$72.44	$77.62	$177.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $74.13 / $74.13	Professional		$72.44	$74.13	$74.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $77.62	Facility		$74.13	$74.13	$77.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Professional		$74.13	$74.13	$74.13
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $70.79	Facility		$67.61	$67.61	$70.79
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Professional		$67.61	$67.61	$67.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $109.65	Facility		$69.18	$69.18	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $93.33	Professional		$74.13	$74.13	$93.33
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $91.20 / $251.19	Facility		$70.79	$91.20	$251.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $95.50	Professional		$77.62	$77.62	$95.50
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Facility		$72.44	$72.44	$72.44
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Professional		$72.44	$72.44	$72.44
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Facility		$95.50	$95.50	$95.50
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $173.78 / $53,703.18	Facility		$81.28	$173.78	$53,703.18
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $95.50	Professional		$79.43	$79.43	$95.50
United Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Facility		$74.13	$74.13	$74.13
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $74.13 / $95.50	Professional		$69.18	$74.13	$95.50
Univera Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $83.18	Facility		$72.44	$72.44	$83.18
Univera Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Professional		$72.44	$72.44	$72.44