Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $97.72 / $138.04	Facility		$40.74	$97.72	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $70.79 / $199.53	Professional		$50.12	$70.79	$199.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Professional		$97.72	$97.72	$97.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $245.47	Facility		$123.03	$123.03	$245.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $208.93	Professional		$69.18	$69.18	$208.93
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $100.00 / $100.00	Facility		$93.33	$100.00	$100.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $199.53 / $50,118.72	Facility		$89.13	$199.53	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $128.82	Professional		$64.57	$64.57	$128.82
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $204.17 / $478.63	Facility		$123.03	$204.17	$478.63
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $128.82 / $239.88	Professional		$75.86	$128.82	$239.88
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $85.11	Facility		$81.28	$81.28	$85.11
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $77.62 / $81.28	Professional		$72.44	$77.62	$81.28
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Professional		$54.95	$54.95	$54.95
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Professional		$97.72	$97.72	$97.72
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $50,118.72 / $75,857.76	Facility		$173.78	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $117.49 / $117.49	Professional		$81.28	$117.49	$117.49
United Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $75.86 / $151.36	Facility		$45.71	$75.86	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $61.66 / $102.33	Professional		$39.81	$61.66	$102.33
Univera Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $75.86 / $85.11	Facility		$72.44	$75.86	$85.11
Univera Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $77.62 / $81.28	Professional		$72.44	$77.62	$81.28