Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.79 / $25.20 / $43.75	Facility		$21.79	$25.20	$43.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $25.37 / $53.77	Professional		$21.48	$25.37	$53.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.07 / $28.84 / $36.64	Professional		$20.07	$28.84	$36.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.82 / $16.76 / $42.17	Professional		$12.82	$16.76	$42.17
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $35.57 / $35.57 / $35.57	Facility		$35.57	$35.57	$35.57
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $35.57 / $35.57 / $37.47	Professional		$35.57	$35.57	$37.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.28 / $37.28 / $37.28	Facility		$37.28	$37.28	$37.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.98 / $37.22 / $87.79	Professional		$19.98	$37.22	$87.79
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $14.80 / $35.57 / $332.00	Facility		$14.80	$35.57	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $33.93 / $65.06	Professional		$27.00	$33.93	$65.06
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.64 / $23.40 / $27.85	Facility		$21.64	$23.40	$27.85
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.28 / $27.38 / $49.19	Professional		$20.28	$27.38	$49.19
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $17.46 / $18.11	Professional		$15.00	$17.46	$18.11
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $37.28 / $37.28 / $37.28	Facility		$37.28	$37.28	$37.28
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $19.66 / $37.22 / $81.06	Professional		$19.66	$37.22	$81.06
Optum Facility/Professional Professional Modifier Low / Median / High Price $16.66 / $23.46 / $27.29	Professional		$16.66	$23.46	$27.29
United Facility/Professional Professional Modifier Low / Median / High Price $21.11 / $30.04 / $62.39	Professional		$21.11	$30.04	$62.39
Univera Facility/Professional Facility Modifier Low / Median / High Price $23.40 / $24.35 / $36.50	Facility		$23.40	$24.35	$36.50
Univera Facility/Professional Professional Modifier Low / Median / High Price $22.52 / $27.38 / $57.28	Professional		$22.52	$27.38	$57.28