Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.32 / $39.40 / $1,588.54	Facility		$23.32	$39.40	$1,588.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.11 / $35.43 / $66.16	Professional		$20.11	$35.43	$66.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.54 / $18.54 / $18.54	Professional		$18.54	$18.54	$18.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $3,373.00 / $4,707.00	Facility		$1,689.00	$3,373.00	$4,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.07 / $30.16 / $90.15	Professional		$23.07	$30.16	$90.15
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $27.69 / $27.69 / $4,050.00	Facility		$27.69	$27.69	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $27.69 / $27.69 / $41.53	Professional		$27.69	$27.69	$41.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.75 / $33.75 / $14,648.00	Facility		$33.75	$33.75	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.58 / $45.33 / $110.25	Professional		$20.58	$45.33	$110.25
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $23.12 / $36.00 / $332.00	Facility		$23.12	$36.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $34.42 / $46.69 / $71.56	Professional		$34.42	$46.69	$71.56
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.68 / $27.68 / $27.68	Facility		$27.68	$27.68	$27.68
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.18 / $41.53 / $63.35	Professional		$27.18	$41.53	$63.35
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $31.90 / $31.90 / $31.90	Professional		$31.90	$31.90	$31.90
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.76 / $36.27 / $42.67	Professional		$35.76	$36.27	$42.67
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $33.75 / $555.00 / $597.00	Facility		$33.75	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $22.53 / $46.22 / $111.91	Professional		$22.53	$46.22	$111.91
United Facility/Professional Facility Modifier Low / Median / High Price $1,252.00 / $2,671.00 / $4,715.00	Facility		$1,252.00	$2,671.00	$4,715.00
United Facility/Professional Professional Modifier Low / Median / High Price $27.99 / $40.36 / $96.63	Professional		$27.99	$40.36	$96.63
Univera Facility/Professional Facility Modifier Low / Median / High Price $24.07 / $24.07 / $153.54	Facility		$24.07	$24.07	$153.54
Univera Facility/Professional Professional Modifier Low / Median / High Price $27.68 / $40.18 / $63.60	Professional		$27.68	$40.18	$63.60