Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.02 / $36.77 / $135.94	Facility		$35.02	$36.77	$135.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.58 / $36.10 / $50.12	Professional		$28.58	$36.10	$50.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.48 / $32.07 / $37.38	Professional		$29.48	$32.07	$37.38
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 $28.92 / $36.43 / $64.25	Professional		$28.92	$36.43	$64.25
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $50.99 / $50.99 / $50.99	Facility		$50.99	$50.99	$50.99
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $50.99 / $50.99 / $50.99	Professional		$50.99	$50.99	$50.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.69 / $38.69 / $38.69	Facility		$38.69	$38.69	$38.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.00 / $39.00 / $67.04	Professional		$28.00	$39.00	$67.04
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $35.04 / $35.04 / $319.00	Facility		$35.04	$35.04	$319.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $34.94 / $46.18 / $69.11	Professional		$34.94	$46.18	$69.11
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.73 / $31.85 / $36.63	Facility		$20.73	$31.85	$36.63
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.43 / $33.04 / $62.17	Professional		$27.43	$33.04	$62.17
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $30.26 / $32.07 / $38.15	Professional		$30.26	$32.07	$38.15
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.82 / $43.82 / $43.82	Facility		$43.82	$43.82	$43.82
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.61 / $38.03 / $39.94	Professional		$37.61	$38.03	$39.94
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $38.69 / $38.69 / $555.00	Facility		$38.69	$38.69	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $29.00 / $39.00 / $79.00	Professional		$29.00	$39.00	$79.00
Optum Facility/Professional Professional Modifier Low / Median / High Price $31.30 / $39.29 / $51.42	Professional		$31.30	$39.29	$51.42
United Facility/Professional Professional Modifier Low / Median / High Price $31.78 / $42.20 / $88.55	Professional		$31.78	$42.20	$88.55
Univera Facility/Professional Facility Modifier Low / Median / High Price $20.73 / $31.85 / $40.58	Facility		$20.73	$31.85	$40.58
Univera Facility/Professional Professional Modifier Low / Median / High Price $27.43 / $41.94 / $85.78	Professional		$27.43	$41.94	$85.78