Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.02 / $40.50 / $274.08	Facility		$35.02	$40.50	$274.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.74 / $36.69 / $51.99	Professional		$28.74	$36.69	$51.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.48 / $31.18 / $33.40	Professional		$29.48	$31.18	$33.40
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 $29.49 / $37.42 / $65.83	Professional		$29.49	$37.42	$65.83
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 $39.51 / $39.51 / $39.51	Facility		$39.51	$39.51	$39.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.00 / $39.00 / $67.06	Professional		$28.00	$39.00	$67.06
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 $27.97 / $33.04 / $63.99	Professional		$27.97	$33.04	$63.99
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $32.07 / $38.15 / $44.66	Professional		$32.07	$38.15	$44.66
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.57 / $42.57 / $44.80	Facility		$42.57	$42.57	$44.80
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 $39.51 / $39.51 / $555.00	Facility		$39.51	$39.51	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $29.01 / $39.00 / $79.00	Professional		$29.01	$39.00	$79.00
Optum Facility/Professional Professional Modifier Low / Median / High Price $31.66 / $39.29 / $51.65	Professional		$31.66	$39.29	$51.65
United Facility/Professional Professional Modifier Low / Median / High Price $31.78 / $42.55 / $91.29	Professional		$31.78	$42.55	$91.29
Univera Facility/Professional Facility Modifier Low / Median / High Price $20.73 / $31.85 / $41.77	Facility		$20.73	$31.85	$41.77
Univera Facility/Professional Professional Modifier Low / Median / High Price $27.97 / $43.16 / $88.29	Professional		$27.97	$43.16	$88.29