Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.44 / $72.00 / $180.89	Facility		$29.44	$72.00	$180.89
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $148.66 / $439.00 / $439.00	Facility	25	$148.66	$439.00	$439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.44 / $60.58 / $115.71	Professional		$29.44	$60.58	$115.71
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $35.00 / $63.36 / $136.00	Professional	25	$35.00	$63.36	$136.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $49.90 / $63.56 / $81.43	Professional		$49.90	$63.56	$81.43
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $46.58 / $46.58 / $46.58	Professional	25	$46.58	$46.58	$46.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.76 / $26.50 / $75.75	Professional		$0.76	$26.50	$75.75
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $53.72 / $53.72 / $53.72	Facility		$53.72	$53.72	$53.72
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $53.72 / $53.72 / $53.72	Professional		$53.72	$53.72	$53.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.54 / $56.54 / $140.00	Facility		$56.54	$56.54	$140.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $5.48 / $5.48 / $5.48	Facility	AS	$5.48	$5.48	$5.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.86 / $56.36 / $119.02	Professional		$33.86	$56.36	$119.02
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $61.50 / $332.00	Facility		$30.00	$61.50	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $29.75 / $48.73 / $92.39	Professional		$29.75	$48.73	$92.39
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.57 / $51.41 / $91.41	Professional		$14.57	$51.41	$91.41
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $15.46 / $53.98 / $68.80	Professional		$15.46	$53.98	$68.80
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.17 / $50.44 / $101.22	Professional		$39.17	$50.44	$101.22
Highmark BCBS Facility/Professional Professional Modifier 25 Low / Median / High Price $45.91 / $45.91 / $101.22	Professional	25	$45.91	$45.91	$101.22
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $56.54 / $140.00 / $74,999.25	Facility		$56.54	$140.00	$74,999.25
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $5.48 / $5.48 / $5.48	Facility	AS	$5.48	$5.48	$5.48
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $39.78 / $57.13 / $117.81	Professional		$39.78	$57.13	$117.81
Optum Facility/Professional Professional Modifier Low / Median / High Price $36.50 / $43.96 / $79.56	Professional		$36.50	$43.96	$79.56
United Facility/Professional Professional Modifier Low / Median / High Price $32.04 / $48.21 / $90.25	Professional		$32.04	$48.21	$90.25
Univera Facility/Professional Facility Modifier Low / Median / High Price $19.32 / $47.48 / $117.60	Facility		$19.32	$47.48	$117.60
Univera Facility/Professional Professional Modifier Low / Median / High Price $17.46 / $56.19 / $120.71	Professional		$17.46	$56.19	$120.71