Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $741.31 / $1,819.70	Facility		$48.98	$741.31	$1,819.70
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $758.58 / $1,288.25 / $4,168.69	Facility	25	$758.58	$1,288.25	$4,168.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $57.54 / $144.54	Professional		$30.90	$57.54	$144.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $46.77 / $107.15	Professional		$33.88	$46.77	$107.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $42.66 / $100.00	Professional		$33.88	$42.66	$100.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Facility		$60.26	$60.26	$60.26
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $1,778.28	Facility		$64.57	$64.57	$1,778.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $64.57 / $147.91	Professional		$34.67	$64.57	$147.91
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $41.69 / $97.72	Facility		$34.67	$41.69	$97.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $60.26 / $89.13	Professional		$42.66	$60.26	$89.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $51.29 / $89.13	Professional		$31.62	$51.29	$89.13
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $87.10 / $281.84	Professional		$54.95	$87.10	$281.84
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $61.66 / $109.65	Professional		$50.12	$61.66	$109.65
Optum Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $47.86 / $57.54	Professional		$35.48	$47.86	$57.54
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $46.77 / $109.65	Professional		$28.18	$46.77	$109.65
Univera Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $51.29 / $97.72	Professional		$33.88	$51.29	$97.72