Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.83 / $25.63 / $42.32	Professional		$20.83	$25.63	$42.32
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $20.00 / $20.00 / $20.00	Professional	52	$20.00	$20.00	$20.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.21 / $38.21 / $38.21	Professional		$38.21	$38.21	$38.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.78 / $32.40 / $53.50	Professional		$19.78	$32.40	$53.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $34.65 / $34.65 / $34.65	Professional		$34.65	$34.65	$34.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.11 / $55.11 / $55.11	Facility		$55.11	$55.11	$55.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.21 / $66.33 / $105.73	Professional		$32.21	$66.33	$105.73
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $45.49 / $62.59	Professional		$40.00	$45.49	$62.59
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.63 / $37.63 / $37.63	Facility		$37.63	$37.63	$37.63
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.65 / $37.63 / $50.42	Professional		$32.65	$37.63	$50.42
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.95 / $42.72	Professional		$40.00	$40.95	$42.72
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.45 / $34.29 / $38.45	Professional		$33.45	$34.29	$38.45
Highmark BCBS Facility/Professional Professional Modifier 52 Low / Median / High Price $16.73 / $16.73 / $16.73	Professional	52	$16.73	$16.73	$16.73
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $55.11 / $55.11 / $55.11	Facility		$55.11	$55.11	$55.11
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $33.45 / $66.33 / $105.64	Professional		$33.45	$66.33	$105.64
United Facility/Professional Professional Modifier Low / Median / High Price $28.76 / $37.63 / $60.96	Professional		$28.76	$37.63	$60.96
Univera Facility/Professional Facility Modifier Low / Median / High Price $37.63 / $37.63 / $37.63	Facility		$37.63	$37.63	$37.63
Univera Facility/Professional Professional Modifier Low / Median / High Price $32.65 / $40.33 / $54.38	Professional		$32.65	$40.33	$54.38