Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.39 / $39.13 / $281.36	Facility		$16.39	$39.13	$281.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.39 / $37.95 / $60.41	Professional		$16.39	$37.95	$60.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $34.36 / $36.11 / $37.61	Professional		$34.36	$36.11	$37.61
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 $19.76 / $38.63 / $62.75	Professional		$19.76	$38.63	$62.75
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $26.61 / $26.61 / $26.61	Facility		$26.61	$26.61	$26.61
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $26.61 / $26.61 / $58.13	Professional		$26.61	$26.61	$58.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.54 / $29.54 / $29.54	Facility		$29.54	$29.54	$29.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $45.00 / $67.64	Professional		$27.00	$45.00	$67.64
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $16.21 / $16.21 / $319.00	Facility		$16.21	$16.21	$319.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $38.86 / $54.70 / $75.43	Professional		$38.86	$54.70	$75.43
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.82 / $13.35 / $19.50	Facility		$10.82	$13.35	$19.50
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.71 / $38.28 / $69.72	Professional		$30.71	$38.28	$69.72
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $36.00 / $36.00 / $36.00	Professional		$36.00	$36.00	$36.00
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.93 / $46.93 / $203.84	Facility		$46.93	$46.93	$203.84
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.90 / $43.14 / $43.37	Professional		$42.90	$43.14	$43.37
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $29.54 / $29.54 / $555.00	Facility		$29.54	$29.54	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $29.11 / $45.00 / $78.70	Professional		$29.11	$45.00	$78.70
Optum Facility/Professional Professional Modifier Low / Median / High Price $35.90 / $44.73 / $58.45	Professional		$35.90	$44.73	$58.45
United Facility/Professional Professional Modifier Low / Median / High Price $36.19 / $46.76 / $97.65	Professional		$36.19	$46.76	$97.65
Univera Facility/Professional Facility Modifier Low / Median / High Price $10.82 / $19.50 / $21.81	Facility		$10.82	$19.50	$21.81
Univera Facility/Professional Professional Modifier Low / Median / High Price $30.71 / $46.38 / $76.37	Professional		$30.71	$46.38	$76.37