Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.05 / $41.41 / $75.14	Facility		$21.05	$41.41	$75.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.24 / $41.17 / $58.14	Professional		$21.24	$41.17	$58.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $39.08 / $40.56 / $41.46	Professional		$39.08	$40.56	$41.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $85.00 / $298.00	Facility		$50.00	$85.00	$298.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.11 / $43.47 / $69.31	Professional		$25.11	$43.47	$69.31
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $34.25 / $34.25 / $34.25	Facility		$34.25	$34.25	$34.25
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $34.25 / $34.25 / $64.81	Professional		$34.25	$34.25	$64.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.64 / $38.64 / $38.64	Facility		$38.64	$38.64	$38.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.00 / $48.00 / $78.81	Professional		$31.00	$48.00	$78.81
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $20.90 / $20.90 / $319.00	Facility		$20.90	$20.90	$319.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $44.17 / $62.37 / $85.43	Professional		$44.17	$62.37	$85.43
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.93 / $14.44 / $25.51	Facility		$13.93	$14.44	$25.51
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.24 / $41.38 / $77.13	Professional		$34.24	$41.38	$77.13
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $37.76 / $39.00 / $39.00	Professional		$37.76	$39.00	$39.00
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.76 / $54.76 / $203.84	Facility		$54.76	$54.76	$203.84
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.82 / $48.09 / $48.35	Professional		$47.82	$48.09	$48.35
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $38.64 / $38.64 / $555.00	Facility		$38.64	$38.64	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $33.00 / $48.00 / $88.15	Professional		$33.00	$48.00	$88.15
Optum Facility/Professional Professional Modifier Low / Median / High Price $38.99 / $48.37 / $63.20	Professional		$38.99	$48.37	$63.20
United Facility/Professional Professional Modifier Low / Median / High Price $39.89 / $51.91 / $113.15	Professional		$39.89	$51.91	$113.15
Univera Facility/Professional Facility Modifier Low / Median / High Price $13.93 / $25.51 / $28.23	Facility		$13.93	$25.51	$28.23
Univera Facility/Professional Professional Modifier Low / Median / High Price $34.29 / $52.03 / $84.49	Professional		$34.29	$52.03	$84.49