Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.21 / $93.65 / $372.86	Facility		$16.21	$93.65	$372.86
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $17.84 / $240.09 / $397.96	Facility	CQ	$17.84	$240.09	$397.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $22.81 / $105.00	Professional		$13.00	$22.81	$105.00
Aetna Facility/Professional Professional Modifier CO Low / Median / High Price $105.00 / $105.00 / $105.00	Professional	CO	$105.00	$105.00	$105.00
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $17.95 / $24.23 / $44.71	Professional	CQ	$17.95	$24.23	$44.71
Ambetter Facility/Professional Professional Modifier CQ Low / Median / High Price $14.80 / $14.80 / $19.11	Professional	CQ	$14.80	$14.80	$19.11
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 $19.26 / $31.27 / $75.00	Professional		$19.26	$31.27	$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 $34.46 / $80.00 / $226.00	Facility		$34.46	$80.00	$226.00
Cigna Facility/Professional Facility Modifier CQ Low / Median / High Price $25.67 / $25.67 / $25.67	Facility	CQ	$25.67	$25.67	$25.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.77 / $66.33 / $113.98	Professional		$24.77	$66.33	$113.98
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $27.00 / $47.56 / $332.00	Facility		$27.00	$47.56	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $45.00 / $85.00	Professional		$35.00	$45.00	$85.00
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.42 / $32.74 / $33.03	Facility		$26.42	$32.74	$33.03
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.31 / $27.61 / $57.87	Professional		$22.31	$27.61	$57.87
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $16.64 / $19.78 / $24.77	Professional		$16.64	$19.78	$24.77
Fidelis Facility/Professional Professional Modifier CQ Low / Median / High Price $23.78 / $23.78 / $23.78	Professional	CQ	$23.78	$23.78	$23.78
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.50 / $110.25 / $112.45	Facility		$100.50	$110.25	$112.45
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.96 / $39.96 / $39.96	Professional		$39.96	$39.96	$39.96
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $34.46 / $555.00 / $597.00	Facility		$34.46	$555.00	$597.00
MVP Health Care Facility/Professional Facility Modifier CQ Low / Median / High Price $25.67 / $25.67 / $25.67	Facility	CQ	$25.67	$25.67	$25.67
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $28.70 / $56.58 / $109.73	Professional		$28.70	$56.58	$109.73
United Facility/Professional Professional Modifier Low / Median / High Price $21.02 / $27.78 / $59.54	Professional		$21.02	$27.78	$59.54
Univera Facility/Professional Facility Modifier Low / Median / High Price $26.42 / $29.91 / $81.47	Facility		$26.42	$29.91	$81.47
Univera Facility/Professional Professional Modifier Low / Median / High Price $22.31 / $29.91 / $69.34	Professional		$22.31	$29.91	$69.34