Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.25 / $43.22 / $108.15	Facility		$28.25	$43.22	$108.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.28 / $28.25 / $59.07	Professional		$22.28	$28.25	$59.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $20.60 / $21.33	Professional		$6.00	$20.60	$21.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.90 / $25.96 / $55.19	Professional		$20.90	$25.96	$55.19
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $35.34 / $35.34 / $35.34	Facility		$35.34	$35.34	$35.34
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $35.34 / $35.34 / $35.34	Professional		$35.34	$35.34	$35.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.22 / $38.22 / $128.25	Facility		$38.22	$38.22	$128.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.78 / $37.69 / $91.41	Professional		$23.78	$37.69	$91.41
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $26.00 / $41.19 / $319.00	Facility		$26.00	$41.19	$319.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $26.67 / $34.26 / $49.70	Professional		$26.67	$34.26	$49.70
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.51 / $22.51 / $22.51	Facility		$22.51	$22.51	$22.51
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.69 / $35.04 / $47.67	Professional		$19.69	$35.04	$47.67
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.74 / $31.74 / $32.09	Professional		$31.74	$31.74	$32.09
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $38.22 / $555.00 / $74,999.25	Facility		$38.22	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $25.50 / $36.95 / $79.56	Professional		$25.50	$36.95	$79.56
United Facility/Professional Professional Modifier Low / Median / High Price $22.90 / $30.21 / $60.67	Professional		$22.90	$30.21	$60.67
Univera Facility/Professional Facility Modifier Low / Median / High Price $12.62 / $33.34 / $101.89	Facility		$12.62	$33.34	$101.89
Univera Facility/Professional Professional Modifier Low / Median / High Price $16.73 / $33.34 / $61.56	Professional		$16.73	$33.34	$61.56