Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.81 / $70.68 / $142.52	Professional		$35.81	$70.68	$142.52
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $60.00 / $80.54 / $163.71	Professional	25	$60.00	$80.54	$163.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $69.22 / $78.81 / $91.99	Professional		$69.22	$78.81	$91.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.99 / $78.16 / $189.67	Professional		$58.99	$78.16	$189.67
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $66.51 / $66.51 / $66.51	Facility		$66.51	$66.51	$66.51
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $66.51 / $66.51 / $121.41	Professional		$66.51	$66.51	$121.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.70 / $72.70 / $72.70	Facility		$72.70	$72.70	$72.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.04 / $74.53 / $197.68	Professional		$40.04	$74.53	$197.68
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $72.00 / $72.00 / $72.00	Facility		$72.00	$72.00	$72.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $46.75 / $63.53 / $138.68	Professional		$46.75	$63.53	$138.68
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.58 / $78.36 / $150.41	Professional		$66.58	$78.36	$150.41
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $77.61 / $77.61 / $77.61	Professional		$77.61	$77.61	$77.61
Fidelis Facility/Professional Professional Modifier 25 Low / Median / High Price $90.69 / $90.69 / $90.69	Professional	25	$90.69	$90.69	$90.69
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.25 / $84.42 / $137.52	Professional		$81.25	$84.42	$137.52
Highmark BCBS Facility/Professional Professional Modifier 25 Low / Median / High Price $63.88 / $81.70 / $112.35	Professional	25	$63.88	$81.70	$112.35
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $72.70 / $72.70 / $72.70	Facility		$72.70	$72.70	$72.70
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $45.85 / $89.63 / $198.62	Professional		$45.85	$89.63	$198.62
United Facility/Professional Professional Modifier Low / Median / High Price $50.56 / $74.48 / $150.51	Professional		$50.56	$74.48	$150.51
Univera Facility/Professional Professional Modifier Low / Median / High Price $66.58 / $93.84 / $156.24	Professional		$66.58	$93.84	$156.24