Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $66.07 / $7,943.28	Facility		$38.02	$66.07	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $41.69 / $7,079.46	Professional		$37.15	$41.69	$7,079.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $40.74 / $40.74	Professional		$38.02	$40.74	$40.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $39.81	Facility		$38.02	$38.02	$39.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $38.02	Professional		$38.02	$38.02	$38.02
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $56.23 / $58.88	Facility		$56.23	$56.23	$58.88
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Professional		$56.23	$56.23	$56.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $32.36 / $70.79	Facility		$32.36	$32.36	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $38.90	Professional		$38.02	$38.02	$38.90
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $43.65 / $114.82	Facility		$34.67	$43.65	$114.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $34.67 / $58.88	Professional		$30.20	$34.67	$58.88
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Facility		$40.74	$40.74	$40.74
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Professional		$40.74	$40.74	$40.74
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Facility		$58.88	$58.88	$58.88
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $50,118.72 / $75,857.76	Facility		$57.54	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $47.86	Professional		$47.86	$47.86	$47.86
United Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $38.02	Facility		$38.02	$38.02	$38.02
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $39.81 / $52.48	Professional		$35.48	$39.81	$52.48
Univera Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $45.71	Facility		$40.74	$40.74	$45.71
Univera Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Professional		$40.74	$40.74	$40.74