Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $63.10 / $257.04	Facility		$50.12	$63.10	$257.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $45.71 / $89.13	Professional		$20.89	$45.71	$89.13
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $64.57 / $95.50 / $95.50	Professional	25	$64.57	$95.50	$95.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $23.44 / $32.36	Professional		$18.20	$23.44	$32.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.76 / $21.38 / $60.26	Professional		$0.76	$21.38	$60.26
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Facility		$33.88	$33.88	$33.88
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $38.90	Professional		$33.88	$33.88	$38.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $44.67 / $89.13	Facility		$39.81	$44.67	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $30.90 / $74.13	Professional		$19.95	$30.90	$74.13
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $102.33	Facility		$25.12	$25.12	$102.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $37.15 / $57.54	Professional		$35.48	$37.15	$57.54
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $27.54 / $33.88	Facility		$23.99	$27.54	$33.88
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $29.51 / $57.54	Professional		$18.20	$29.51	$57.54
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $46.77 / $46.77	Professional		$25.12	$46.77	$46.77
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $64.57 / $501.19	Facility		$22.91	$64.57	$501.19
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $25.12 / $60.26	Professional		$23.44	$25.12	$60.26
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $37.15 / $61.66	Professional		$29.51	$37.15	$61.66
Optum Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $39.81 / $56.23	Professional		$28.18	$39.81	$56.23
United Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Facility		$251.19	$251.19	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $33.11 / $63.10	Professional		$21.88	$33.11	$63.10
Univera Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $29.51 / $33.88	Facility		$23.99	$29.51	$33.88
Univera Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $29.51 / $57.54	Professional		$19.50	$29.51	$57.54