Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.77 / $35.61 / $60.44	Facility		$31.77	$35.61	$60.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.28 / $36.85 / $68.06	Professional		$30.28	$36.85	$68.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $48.59 / $48.59 / $48.59	Professional		$48.59	$48.59	$48.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.28 / $23.90 / $61.23	Professional		$18.28	$23.90	$61.23
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $53.22 / $53.22 / $53.22	Facility		$53.22	$53.22	$53.22
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $53.22 / $53.22 / $55.13	Professional		$53.22	$53.22	$55.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.43 / $52.43 / $52.43	Facility		$52.43	$52.43	$52.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.28 / $55.03 / $126.49	Professional		$29.28	$55.03	$126.49
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $21.69 / $49.93 / $332.00	Facility		$21.69	$49.93	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $36.78 / $46.34 / $88.64	Professional		$36.78	$46.34	$88.64
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.76 / $32.40 / $38.56	Facility		$30.76	$32.40	$38.56
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.02 / $37.92 / $67.98	Professional		$28.02	$37.92	$67.98
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.35 / $25.35 / $25.63	Professional		$25.35	$25.35	$25.63
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $52.43 / $52.43 / $52.43	Facility		$52.43	$52.43	$52.43
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $28.01 / $54.61 / $116.88	Professional		$28.01	$54.61	$116.88
Optum Facility/Professional Professional Modifier Low / Median / High Price $22.95 / $32.33 / $37.61	Professional		$22.95	$32.33	$37.61
United Facility/Professional Professional Modifier Low / Median / High Price $30.23 / $43.85 / $101.97	Professional		$30.23	$43.85	$101.97
Univera Facility/Professional Facility Modifier Low / Median / High Price $32.40 / $34.10 / $55.20	Facility		$32.40	$34.10	$55.20
Univera Facility/Professional Professional Modifier Low / Median / High Price $31.11 / $37.92 / $79.97	Professional		$31.11	$37.92	$79.97