Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.37 / $102.01 / $221.29	Facility		$78.37	$102.01	$221.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.37 / $78.37 / $95.10	Professional		$78.37	$78.37	$95.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.52 / $77.52 / $78.47	Professional		$77.52	$77.52	$78.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $62.70 / $62.70 / $78.37	Facility		$62.70	$62.70	$78.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.08 / $78.37 / $109.58	Professional		$72.08	$78.37	$109.58
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $67.62 / $67.62 / $71.00	Facility		$67.62	$67.62	$71.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $67.62 / $67.62 / $67.62	Professional		$67.62	$67.62	$67.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.14 / $73.93 / $85.00	Facility		$69.14	$73.93	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.37 / $78.37 / $100.30	Professional		$78.37	$78.37	$100.30
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $81.33 / $121.98 / $332.00	Facility		$81.33	$121.98	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $81.31 / $81.33 / $98.03	Professional		$81.31	$81.33	$98.03
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $78.37 / $78.37 / $81.33	Facility		$78.37	$78.37	$81.33
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.37 / $81.33 / $81.33	Professional		$78.37	$81.33	$81.33
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $82.43 / $82.85 / $87.72	Facility		$82.43	$82.85	$87.72
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.28 / $87.28 / $103.05	Professional		$87.28	$87.28	$103.05
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $69.14 / $73.93 / $99.26	Facility		$69.14	$73.93	$99.26
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $78.37 / $78.37 / $100.30	Professional		$78.37	$78.37	$100.30
United Facility/Professional Professional Modifier Low / Median / High Price $76.14 / $83.07 / $105.02	Professional		$76.14	$83.07	$105.02
Univera Facility/Professional Facility Modifier Low / Median / High Price $81.33 / $81.33 / $81.33	Facility		$81.33	$81.33	$81.33
Univera Facility/Professional Professional Modifier Low / Median / High Price $78.37 / $81.33 / $81.33	Professional		$78.37	$81.33	$81.33