Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.00 / $85.60 / $255.23	Facility		$63.00	$85.60	$255.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.77 / $69.39 / $123.39	Professional		$53.77	$69.39	$123.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.56 / $59.04 / $85.82	Professional		$43.56	$59.04	$85.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.00 / $62.00 / $198.00	Facility		$42.00	$62.00	$198.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $65.18 / $92.36	Professional		$0.80	$65.18	$92.36
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $85.27 / $85.27 / $97.37	Facility		$85.27	$85.27	$97.37
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $85.27 / $86.19 / $109.79	Professional		$85.27	$86.19	$109.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $86.00 / $118.77	Facility		$60.00	$86.00	$118.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.80 / $69.06 / $135.58	Professional		$47.80	$69.06	$135.58
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $319.00	Facility		$55.00	$55.00	$319.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $32.00 / $92.28 / $151.38	Professional		$32.00	$92.28	$151.38
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.17 / $61.49 / $65.70	Facility		$36.17	$61.49	$65.70
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.61 / $79.65 / $140.72	Professional		$51.61	$79.65	$140.72
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $41.90 / $43.26 / $83.13	Professional		$41.90	$43.26	$83.13
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $71.92 / $320.33	Facility		$65.00	$71.92	$320.33
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.31 / $79.95 / $103.83	Professional		$66.31	$79.95	$103.83
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $86.00 / $118.77	Facility		$60.00	$86.00	$118.77
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $45.08 / $70.34 / $142.41	Professional		$45.08	$70.34	$142.41
Optum Facility/Professional Professional Modifier Low / Median / High Price $49.25 / $72.54 / $100.22	Professional		$49.25	$72.54	$100.22
United Facility/Professional Professional Modifier Low / Median / High Price $56.68 / $75.81 / $155.05	Professional		$56.68	$75.81	$155.05
Univera Facility/Professional Facility Modifier Low / Median / High Price $58.70 / $61.49 / $84.27	Facility		$58.70	$61.49	$84.27
Univera Facility/Professional Professional Modifier Low / Median / High Price $64.88 / $81.70 / $178.14	Professional		$64.88	$81.70	$178.14