Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.97 / $530.85 / $1,287.00	Facility		$47.97	$530.85	$1,287.00
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $710.40 / $1,287.00 / $4,443.30	Facility	25	$710.40	$1,287.00	$4,443.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.05 / $53.75 / $144.00	Professional		$31.05	$53.75	$144.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.52 / $112.72 / $152.75	Professional		$41.52	$112.72	$152.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.54 / $42.55 / $97.84	Professional		$32.54	$42.55	$97.84
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $60.28 / $60.28 / $1,007.00	Facility		$60.28	$60.28	$1,007.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $60.28 / $60.28 / $60.28	Professional		$60.28	$60.28	$60.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.16 / $48.16 / $1,973.00	Facility		$48.16	$48.16	$1,973.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.84 / $66.70 / $140.96	Professional		$32.84	$66.70	$140.96
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $35.00 / $98.20	Facility		$35.00	$35.00	$98.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $46.76 / $59.86 / $99.13	Professional		$46.76	$59.86	$99.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.42 / $50.96 / $83.97	Professional		$31.42	$50.96	$83.97
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $36.94 / $49.80 / $49.80	Professional		$36.94	$49.80	$49.80
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.61 / $85.11 / $245.85	Professional		$54.61	$85.11	$245.85
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $48.16 / $48.16 / $1,973.00	Facility		$48.16	$48.16	$1,973.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $37.88 / $62.54 / $138.83	Professional		$37.88	$62.54	$138.83
Optum Facility/Professional Professional Modifier Low / Median / High Price $33.09 / $46.22 / $53.60	Professional		$33.09	$46.22	$53.60
United Facility/Professional Professional Modifier Low / Median / High Price $30.78 / $50.33 / $120.83	Professional		$30.78	$50.33	$120.83
Univera Facility/Professional Professional Modifier Low / Median / High Price $31.42 / $56.15 / $101.75	Professional		$31.42	$56.15	$101.75