Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.12 / $63.00 / $252.15	Facility		$44.12	$63.00	$252.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.39 / $34.85 / $62.15	Professional		$19.39	$34.85	$62.15
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $64.20 / $96.00 / $96.00	Professional	25	$64.20	$96.00	$96.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.45 / $22.31 / $28.58	Professional		$17.45	$22.31	$28.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $51.00 / $182.00	Facility		$45.00	$51.00	$182.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.76 / $22.15 / $60.00	Professional		$0.76	$22.15	$60.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $34.07 / $34.07 / $34.07	Facility		$34.07	$34.07	$34.07
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $34.07 / $34.07 / $38.84	Professional		$34.07	$34.07	$38.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.00 / $60.00 / $119.00	Facility		$40.00	$60.00	$119.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $31.07 / $73.87	Professional		$20.00	$31.07	$73.87
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $25.00 / $25.00 / $319.00	Facility		$25.00	$25.00	$319.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $32.96 / $40.00 / $54.30	Professional		$32.96	$40.00	$54.30
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.12 / $30.99 / $33.94	Facility		$24.12	$30.99	$33.94
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.36 / $29.22 / $49.64	Professional		$18.36	$29.22	$49.64
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $23.95 / $47.25 / $47.25	Professional		$23.95	$47.25	$47.25
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.47 / $65.00 / $123.87	Facility		$23.47	$65.00	$123.87
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.47 / $28.66 / $60.00	Professional		$23.47	$28.66	$60.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $40.00 / $60.00 / $142.00	Facility		$40.00	$60.00	$142.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $33.00 / $73.63	Professional		$21.00	$33.00	$73.63
Optum Facility/Professional Professional Modifier Low / Median / High Price $27.47 / $40.00 / $56.75	Professional		$27.47	$40.00	$56.75
United Facility/Professional Professional Modifier Low / Median / High Price $24.86 / $40.00 / $63.99	Professional		$24.86	$40.00	$63.99
Univera Facility/Professional Facility Modifier Low / Median / High Price $29.57 / $30.99 / $35.96	Facility		$29.57	$30.99	$35.96
Univera Facility/Professional Professional Modifier Low / Median / High Price $25.43 / $33.90 / $62.50	Professional		$25.43	$33.90	$62.50