Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.85 / $159.75 / $328.27	Facility		$83.85	$159.75	$328.27
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $2,024.56 / $2,024.56 / $5,037.35	Facility	25	$2,024.56	$2,024.56	$5,037.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.17 / $115.39 / $455.16	Professional		$86.17	$115.39	$455.16
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $105.70 / $240.88 / $877.86	Professional	25	$105.70	$240.88	$877.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $101.13 / $114.03 / $391.23	Professional		$101.13	$114.03	$391.23
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $108.05 / $152.94 / $385.89	Professional	25	$108.05	$152.94	$385.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.68 / $115.91 / $240.85	Professional		$94.68	$115.91	$240.85
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $154.76 / $154.76 / $154.76	Facility		$154.76	$154.76	$154.76
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $154.76 / $154.76 / $172.43	Professional		$154.76	$154.76	$172.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $143.15 / $143.15 / $2,428.00	Facility		$143.15	$143.15	$2,428.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.40 / $165.53 / $345.84	Professional		$95.40	$165.53	$345.84
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $78.00 / $332.00	Facility		$65.00	$78.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $133.58 / $173.35 / $257.81	Professional		$133.58	$173.35	$257.81
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $111.83 / $111.83 / $111.83	Facility		$111.83	$111.83	$111.83
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.96 / $153.76 / $249.98	Professional		$97.96	$153.76	$249.98
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.44 / $152.63 / $193.99	Professional		$130.44	$152.63	$193.99
Highmark BCBS Facility/Professional Professional Modifier 25 Low / Median / High Price $130.75 / $193.99 / $282.20	Professional	25	$130.75	$193.99	$282.20
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $143.15 / $143.15 / $2,428.00	Facility		$143.15	$143.15	$2,428.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $95.96 / $166.90 / $340.66	Professional		$95.96	$166.90	$340.66
United Facility/Professional Professional Modifier Low / Median / High Price $89.38 / $133.86 / $283.83	Professional		$89.38	$133.86	$283.83
United Facility/Professional Professional Modifier 25 Low / Median / High Price $80.00 / $85.00 / $234.81	Professional	25	$80.00	$85.00	$234.81
Univera Facility/Professional Facility Modifier Low / Median / High Price $111.83 / $111.83 / $111.83	Facility		$111.83	$111.83	$111.83
Univera Facility/Professional Professional Modifier Low / Median / High Price $115.25 / $175.26 / $272.69	Professional		$115.25	$175.26	$272.69