Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.44 / $48.50 / $152.09	Facility		$33.44	$48.50	$152.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.98 / $50.00 / $188.00	Professional		$29.98	$50.00	$188.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $52.01 / $66.05 / $89.17	Professional		$52.01	$66.05	$89.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $88.06 / $89.82 / $176.12	Facility		$88.06	$89.82	$176.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.10 / $40.10 / $128.63	Professional		$40.10	$40.10	$128.63
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $68.23 / $73.37 / $73.37	Facility		$68.23	$73.37	$73.37
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $73.37 / $73.37 / $73.37	Professional		$73.37	$73.37	$73.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.70 / $45.70 / $45.96	Facility		$45.70	$45.70	$45.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.36 / $33.36 / $87.38	Professional		$33.36	$33.36	$87.38
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $88.06 / $198.14 / $332.00	Facility		$88.06	$198.14	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $45.47 / $65.16 / $158.51	Professional		$45.47	$65.16	$158.51
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.98 / $47.98 / $47.98	Facility		$47.98	$47.98	$47.98
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.98 / $50.92 / $63.15	Professional		$47.98	$50.92	$63.15
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $32.63 / $32.63 / $65.73	Professional		$32.63	$32.63	$65.73
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $92.23 / $92.23 / $92.23	Facility		$92.23	$92.23	$92.23
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.44 / $71.44 / $71.44	Professional		$71.44	$71.44	$71.44
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $45.70 / $45.96 / $555.00	Facility		$45.70	$45.96	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $33.36 / $40.86 / $131.21	Professional		$33.36	$40.86	$131.21
United Facility/Professional Professional Modifier Low / Median / High Price $29.29 / $43.93 / $80.54	Professional		$29.29	$43.93	$80.54
Univera Facility/Professional Facility Modifier Low / Median / High Price $50.92 / $50.92 / $55.02	Facility		$50.92	$50.92	$55.02
Univera Facility/Professional Professional Modifier Low / Median / High Price $47.98 / $50.92 / $54.12	Professional		$47.98	$50.92	$54.12