Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $369.33 / $369.33 / $369.33	Facility		$369.33	$369.33	$369.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.75 / $26.78 / $50.10	Professional		$17.75	$26.78	$50.10
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $8.88 / $11.85 / $17.39	Professional	52	$8.88	$11.85	$17.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.98 / $24.97 / $29.37	Professional		$21.98	$24.97	$29.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.57 / $25.60 / $63.64	Professional		$19.57	$25.60	$63.64
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $28.90 / $28.90 / $28.90	Facility		$28.90	$28.90	$28.90
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $28.90 / $28.90 / $39.40	Professional		$28.90	$28.90	$39.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.38 / $32.38 / $32.38	Facility		$32.38	$32.38	$32.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.20 / $29.38 / $69.45	Professional		$16.20	$29.38	$69.45
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $8.40 / $8.40 / $8.40	Facility		$8.40	$8.40	$8.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $21.58 / $30.06 / $52.00	Professional		$21.58	$30.06	$52.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.39 / $25.40 / $48.78	Professional		$21.39	$25.40	$48.78
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $23.74 / $23.74 / $31.33	Professional		$23.74	$23.74	$31.33
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.40 / $32.70 / $33.06	Professional		$32.40	$32.70	$33.06
Highmark BCBS Facility/Professional Professional Modifier 52 Low / Median / High Price $16.35 / $16.35 / $16.35	Professional	52	$16.35	$16.35	$16.35
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $32.38 / $32.38 / $32.38	Facility		$32.38	$32.38	$32.38
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $17.92 / $32.34 / $68.01	Professional		$17.92	$32.34	$68.01
United Facility/Professional Professional Modifier Low / Median / High Price $17.42 / $25.64 / $49.47	Professional		$17.42	$25.64	$49.47
Univera Facility/Professional Professional Modifier Low / Median / High Price $21.39 / $30.43 / $51.55	Professional		$21.39	$30.43	$51.55