Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $77.62 / $169.82	Professional		$38.90	$77.62	$169.82
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $72.44 / $112.20 / $169.82	Professional	25	$72.44	$112.20	$169.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Professional		$95.50	$95.50	$95.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $81.28 / $208.93	Professional		$61.66	$81.28	$208.93
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Facility		$66.07	$66.07	$66.07
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $120.23	Professional		$66.07	$66.07	$120.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Facility		$72.44	$72.44	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $81.28 / $194.98	Professional		$40.74	$81.28	$194.98
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Facility		$72.44	$72.44	$72.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $63.10 / $131.83	Professional		$44.67	$63.10	$131.83
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $85.11 / $177.83	Professional		$63.10	$85.11	$177.83
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $81.28 / $100.00	Professional		$64.57	$81.28	$100.00
Highmark BCBS Facility/Professional Professional Modifier 25 Low / Median / High Price $81.28 / $81.28 / $85.11	Professional	25	$81.28	$81.28	$85.11
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $114.82 / $223.87	Professional		$87.10	$114.82	$223.87
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $54.95 / $112.20	Professional		$30.20	$54.95	$112.20
Univera Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $77.62 / $144.54	Professional		$63.10	$77.62	$144.54