Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.89 / $124.00 / $371.32	Facility		$16.89	$124.00	$371.32
Aetna Facility/Professional Facility Modifier CO Low / Median / High Price $5.09 / $5.09 / $5.09	Facility	CO	$5.09	$5.09	$5.09
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $9.19 / $320.00 / $397.96	Facility	CQ	$9.19	$320.00	$397.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $27.29 / $145.00	Professional		$14.40	$27.29	$145.00
Aetna Facility/Professional Professional Modifier CO Low / Median / High Price $54.47 / $192.00 / $456.94	Professional	CO	$54.47	$192.00	$456.94
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $34.36 / $47.10 / $192.00	Professional	CQ	$34.36	$47.10	$192.00
Ambetter Facility/Professional Professional Modifier CQ Low / Median / High Price $20.68 / $20.68 / $20.68	Professional	CQ	$20.68	$20.68	$20.68
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 $22.12 / $41.63 / $75.00	Professional		$22.12	$41.63	$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 $41.01 / $125.00 / $331.00	Facility		$41.01	$125.00	$331.00
Cigna Facility/Professional Facility Modifier CO Low / Median / High Price $34.86 / $34.86 / $34.86	Facility	CO	$34.86	$34.86	$34.86
Cigna Facility/Professional Facility Modifier CQ Low / Median / High Price $34.86 / $34.86 / $34.86	Facility	CQ	$34.86	$34.86	$34.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.34 / $67.08 / $114.34	Professional		$30.34	$67.08	$114.34
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $27.00 / $59.76 / $332.00	Facility		$27.00	$59.76	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $41.23 / $45.00 / $78.67	Professional		$41.23	$45.00	$78.67
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.37 / $2.37 / $41.88	Facility		$2.37	$2.37	$41.88
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.49 / $30.81 / $54.60	Professional		$2.49	$30.81	$54.60
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $13.36 / $13.36 / $37.85	Professional		$13.36	$13.36	$37.85
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.63 / $79.63 / $79.63	Facility		$79.63	$79.63	$79.63
Highmark BCBS Facility/Professional Facility Modifier CQ Low / Median / High Price $37.35 / $37.35 / $37.35	Facility	CQ	$37.35	$37.35	$37.35
Highmark BCBS Facility/Professional Professional Modifier CQ Low / Median / High Price $30.15 / $30.15 / $30.15	Professional	CQ	$30.15	$30.15	$30.15
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $41.01 / $555.00 / $597.00	Facility		$41.01	$555.00	$597.00
MVP Health Care Facility/Professional Facility Modifier CO Low / Median / High Price $34.86 / $34.86 / $34.86	Facility	CO	$34.86	$34.86	$34.86
MVP Health Care Facility/Professional Facility Modifier CQ Low / Median / High Price $34.86 / $34.86 / $34.86	Facility	CQ	$34.86	$34.86	$34.86
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $31.55 / $60.24 / $113.16	Professional		$31.55	$60.24	$113.16
United Facility/Professional Professional Modifier Low / Median / High Price $26.47 / $36.78 / $71.59	Professional		$26.47	$36.78	$71.59
Univera Facility/Professional Facility Modifier Low / Median / High Price $33.50 / $40.36 / $92.16	Facility		$33.50	$40.36	$92.16
Univera Facility/Professional Professional Modifier Low / Median / High Price $17.87 / $40.36 / $87.32	Professional		$17.87	$40.36	$87.32