Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.07 / $51.22 / $123.22	Facility		$40.07	$51.22	$123.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.07 / $54.02 / $198.04	Professional		$40.07	$54.02	$198.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.93 / $89.93 / $89.93	Professional		$89.93	$89.93	$89.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $117.69 / $120.04 / $235.38	Facility		$117.69	$120.04	$235.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.74 / $54.74 / $171.92	Professional		$54.74	$54.74	$171.92
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $91.19 / $98.05 / $98.05	Facility		$91.19	$98.05	$98.05
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $98.05 / $98.05 / $98.05	Professional		$98.05	$98.05	$98.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.94 / $58.00 / $58.00	Facility		$56.94	$58.00	$58.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.34 / $42.34 / $58.00	Professional		$42.34	$42.34	$58.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $117.69 / $264.80 / $332.00	Facility		$117.69	$264.80	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $60.77 / $84.74 / $211.84	Professional		$60.77	$84.74	$211.84
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.45 / $45.45 / $45.45	Facility		$45.45	$45.45	$45.45
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.45 / $68.06 / $84.39	Professional		$45.45	$68.06	$84.39
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $30.91 / $30.91 / $50.00	Professional		$30.91	$30.91	$50.00
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.57 / $125.57 / $125.57	Facility		$125.57	$125.57	$125.57
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.11 / $103.11 / $103.11	Professional		$103.11	$103.11	$103.11
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $56.94 / $58.00 / $555.00	Facility		$56.94	$58.00	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $42.34 / $54.60 / $139.68	Professional		$42.34	$54.60	$139.68
United Facility/Professional Professional Modifier Low / Median / High Price $39.14 / $58.71 / $107.64	Professional		$39.14	$58.71	$107.64
Univera Facility/Professional Facility Modifier Low / Median / High Price $68.06 / $68.06 / $73.53	Facility		$68.06	$68.06	$73.53
Univera Facility/Professional Professional Modifier Low / Median / High Price $45.45 / $68.06 / $72.31	Professional		$45.45	$68.06	$72.31