Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.78 / $78.79 / $145.41	Professional		$35.78	$78.79	$145.41
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $49.28 / $93.51 / $149.51	Professional	25	$49.28	$93.51	$149.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.70 / $82.94 / $96.73	Professional		$72.70	$82.94	$96.73
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $80.56 / $80.56 / $82.41	Professional	25	$80.56	$80.56	$82.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.73 / $81.84 / $199.36	Professional		$60.73	$81.84	$199.36
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $72.33 / $72.33 / $72.33	Facility		$72.33	$72.33	$72.33
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $72.33 / $72.33 / $126.28	Professional		$72.33	$72.33	$126.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.94 / $79.94 / $79.94	Facility		$79.94	$79.94	$79.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.24 / $77.45 / $205.42	Professional		$39.24	$77.45	$205.42
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $42.00 / $42.00 / $42.00	Facility		$42.00	$42.00	$42.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $55.00 / $145.96	Professional		$45.00	$55.00	$145.96
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.92 / $82.35 / $157.97	Professional		$68.92	$82.35	$157.97
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $58.96 / $58.96 / $63.95	Professional		$58.96	$58.96	$63.95
Fidelis Facility/Professional Professional Modifier 25 Low / Median / High Price $78.33 / $78.33 / $78.33	Professional	25	$78.33	$78.33	$78.33
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.77 / $88.58 / $117.91	Professional		$74.77	$88.58	$117.91
Highmark BCBS Facility/Professional Professional Modifier 25 Low / Median / High Price $85.42 / $89.07 / $117.91	Professional	25	$85.42	$89.07	$117.91
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $79.94 / $79.94 / $79.94	Facility		$79.94	$79.94	$79.94
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $95.84 / $212.63	Professional		$45.00	$95.84	$212.63
United Facility/Professional Professional Modifier Low / Median / High Price $47.52 / $76.98 / $158.77	Professional		$47.52	$76.98	$158.77
Univera Facility/Professional Professional Modifier Low / Median / High Price $68.92 / $89.58 / $164.10	Professional		$68.92	$89.58	$164.10