Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.91 / $52.67 / $97.49	Facility		$42.91	$52.67	$97.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.91 / $58.70 / $117.40	Professional		$42.91	$58.70	$117.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $155.33 / $155.33 / $167.00	Professional		$155.33	$155.33	$167.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.59 / $77.09 / $151.18	Facility		$75.59	$77.09	$151.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.04 / $71.04 / $189.32	Professional		$71.04	$71.04	$189.32
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $84.56 / $90.93 / $90.93	Facility		$84.56	$90.93	$90.93
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $90.93 / $90.93 / $90.93	Professional		$90.93	$90.93	$90.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.97 / $84.97 / $87.14	Facility		$84.97	$84.97	$87.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.03 / $62.03 / $87.14	Professional		$62.03	$62.03	$87.14
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $75.59 / $170.08 / $332.00	Facility		$75.59	$170.08	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $46.87 / $62.49 / $136.06	Professional		$46.87	$62.49	$136.06
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $71.75 / $71.75 / $71.75	Facility		$71.75	$71.75	$71.75
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.75 / $76.54 / $81.31	Professional		$71.75	$76.54	$81.31
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $165.53 / $165.53 / $165.53	Facility		$165.53	$165.53	$165.53
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.26 / $82.26 / $82.26	Professional		$82.26	$82.26	$82.26
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $75.59 / $84.97 / $555.00	Facility		$75.59	$84.97	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $62.03 / $74.80 / $112.63	Professional		$62.03	$74.80	$112.63
United Facility/Professional Professional Modifier Low / Median / High Price $40.25 / $61.34 / $104.31	Professional		$40.25	$61.34	$104.31
Univera Facility/Professional Facility Modifier Low / Median / High Price $76.54 / $76.54 / $76.54	Facility		$76.54	$76.54	$76.54
Univera Facility/Professional Professional Modifier Low / Median / High Price $71.75 / $76.54 / $81.31	Professional		$71.75	$76.54	$81.31