Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.67 / $104.97 / $28,024.04	Facility		$54.67	$104.97	$28,024.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.57 / $56.11 / $72.16	Professional		$55.57	$56.11	$72.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.67 / $54.67 / $54.67	Professional		$54.67	$54.67	$54.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.46 / $44.46 / $55.57	Facility		$44.46	$44.46	$55.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.12 / $55.57 / $76.34	Professional		$49.12	$55.57	$76.34
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $45.03 / $45.03 / $47.28	Facility		$45.03	$45.03	$47.28
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $45.03 / $45.03 / $45.03	Professional		$45.03	$45.03	$45.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.41 / $52.42 / $59.91	Facility		$46.41	$52.42	$59.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.57 / $55.57 / $55.57	Professional		$55.57	$55.57	$55.57
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $60.28 / $86.49 / $332.00	Facility		$60.28	$86.49	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $57.66 / $60.28 / $69.51	Professional		$57.66	$60.28	$69.51
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.57 / $55.57 / $55.57	Facility		$55.57	$55.57	$55.57
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.57 / $55.57 / $55.57	Professional		$55.57	$55.57	$55.57
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.91 / $60.14 / $70.48	Facility		$59.91	$60.14	$70.48
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $46.41 / $52.42 / $68.22	Facility		$46.41	$52.42	$68.22
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $55.57 / $55.57 / $62.91	Professional		$55.57	$55.57	$62.91
United Facility/Professional Professional Modifier Low / Median / High Price $53.35 / $58.35 / $74.45	Professional		$53.35	$58.35	$74.45
Univera Facility/Professional Facility Modifier Low / Median / High Price $55.57 / $55.57 / $55.57	Facility		$55.57	$55.57	$55.57
Univera Facility/Professional Professional Modifier Low / Median / High Price $55.57 / $55.57 / $55.57	Professional		$55.57	$55.57	$55.57