Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $140.85 / $412.89	Facility		$20.00	$140.85	$412.89
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $4.11 / $199.92 / $397.96	Facility	CQ	$4.11	$199.92	$397.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $23.37 / $142.00	Professional		$14.40	$23.37	$142.00
Aetna Facility/Professional Professional Modifier CO Low / Median / High Price $25.39 / $25.39 / $25.39	Professional	CO	$25.39	$25.39	$25.39
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $25.25 / $39.27 / $366.84	Professional	CQ	$25.25	$39.27	$366.84
Ambetter Facility/Professional Professional Modifier CQ Low / Median / High Price $17.42 / $17.42 / $24.99	Professional	CQ	$17.42	$17.42	$24.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $654.00 / $664.00 / $919.00	Facility		$654.00	$664.00	$919.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.78 / $37.68 / $75.00	Professional		$21.78	$37.68	$75.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $60.05 / $60.05 / $60.05	Facility		$60.05	$60.05	$60.05
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $60.05 / $60.05 / $60.05	Professional		$60.05	$60.05	$60.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.13 / $80.00 / $226.00	Facility		$38.13	$80.00	$226.00
Cigna Facility/Professional Facility Modifier CQ Low / Median / High Price $32.00 / $32.00 / $32.00	Facility	CQ	$32.00	$32.00	$32.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.72 / $67.08 / $114.34	Professional		$27.72	$67.08	$114.34
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $27.00 / $55.35 / $332.00	Facility		$27.00	$55.35	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $45.00 / $92.55	Professional		$40.00	$45.00	$92.55
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.14 / $38.59 / $38.93	Facility		$31.14	$38.59	$38.93
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.78 / $31.14 / $68.00	Professional		$27.78	$31.14	$68.00
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $23.71 / $29.00 / $29.18	Professional		$23.71	$29.00	$29.18
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.21 / $100.12 / $108.58	Facility		$48.21	$100.12	$108.58
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.87 / $27.87 / $27.87	Professional		$27.87	$27.87	$27.87
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $38.13 / $555.00 / $597.00	Facility		$38.13	$555.00	$597.00
MVP Health Care Facility/Professional Facility Modifier CQ Low / Median / High Price $32.00 / $32.00 / $32.00	Facility	CQ	$32.00	$32.00	$32.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $30.18 / $59.86 / $111.17	Professional		$30.18	$59.86	$111.17
United Facility/Professional Professional Modifier Low / Median / High Price $24.23 / $34.13 / $70.78	Professional		$24.23	$34.13	$70.78
Univera Facility/Professional Facility Modifier Low / Median / High Price $31.14 / $37.24 / $89.85	Facility		$31.14	$37.24	$89.85
Univera Facility/Professional Professional Modifier Low / Median / High Price $27.78 / $37.24 / $86.36	Professional		$27.78	$37.24	$86.36