Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.45 / $102.00 / $17,798.06	Facility		$78.45	$102.00	$17,798.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $79.00 / $95.10	Professional		$79.00	$79.00	$95.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.20 / $75.20 / $75.20	Professional		$75.20	$75.20	$75.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.20 / $63.20 / $79.00	Facility		$63.20	$63.20	$79.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.52 / $79.00 / $81.97	Professional		$63.52	$79.00	$81.97
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $64.11 / $64.11 / $67.31	Facility		$64.11	$64.11	$67.31
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $64.11 / $64.11 / $64.11	Professional		$64.11	$64.11	$64.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.92 / $74.52 / $87.85	Facility		$66.92	$74.52	$87.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $79.00 / $85.70	Professional		$79.00	$79.00	$85.70
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $85.70 / $122.96 / $332.00	Facility		$85.70	$122.96	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $81.97 / $85.70 / $98.81	Professional		$81.97	$85.70	$98.81
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.00 / $79.00 / $81.98	Facility		$79.00	$79.00	$81.98
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $81.98 / $81.98	Professional		$79.00	$81.98	$81.98
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.85 / $87.85 / $87.89	Facility		$87.85	$87.85	$87.89
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $66.92 / $74.52 / $94.68	Facility		$66.92	$74.52	$94.68
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $79.00 / $94.73	Professional		$79.00	$79.00	$94.73
United Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $82.80 / $108.00	Professional		$79.00	$82.80	$108.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $81.98 / $81.98 / $81.98	Facility		$81.98	$81.98	$81.98
Univera Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $81.98 / $81.98	Professional		$79.00	$81.98	$81.98