Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.66 / $64.31 / $476.61	Facility		$6.66	$64.31	$476.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.15 / $64.31 / $205.26	Professional		$40.15	$64.31	$205.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $110.87 / $110.87 / $213.19	Professional		$110.87	$110.87	$213.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.82 / $150.78 / $295.64	Facility		$147.82	$150.78	$295.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.38 / $83.38 / $230.96	Professional		$83.38	$83.38	$230.96
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $114.54 / $123.16 / $123.16	Facility		$114.54	$123.16	$123.16
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $123.16 / $123.16 / $123.16	Professional		$123.16	$123.16	$123.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.64 / $86.64 / $91.83	Facility		$86.64	$86.64	$91.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.25 / $63.25 / $91.83	Professional		$63.25	$63.25	$91.83
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $147.82 / $310.42 / $332.60	Facility		$147.82	$310.42	$332.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $87.21 / $106.43 / $266.08	Professional		$87.21	$106.43	$266.08
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.18 / $112.18 / $112.18	Facility		$112.18	$112.18	$112.18
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.47 / $90.81 / $123.16	Professional		$85.47	$90.81	$123.16
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $96.17 / $96.17 / $96.17	Facility		$96.17	$96.17	$96.17
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.89 / $119.89 / $119.89	Professional		$119.89	$119.89	$119.89
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $86.64 / $91.83 / $555.00	Facility		$86.64	$91.83	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $63.25 / $86.64 / $180.47	Professional		$63.25	$86.64	$180.47
United Facility/Professional Professional Modifier Low / Median / High Price $49.16 / $73.75 / $135.19	Professional		$49.16	$73.75	$135.19
Univera Facility/Professional Facility Modifier Low / Median / High Price $85.47 / $85.47 / $92.34	Facility		$85.47	$85.47	$92.34
Univera Facility/Professional Professional Modifier Low / Median / High Price $85.47 / $85.47 / $112.18	Professional		$85.47	$85.47	$112.18