Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.18 / $41.36 / $159.86	Facility		$18.18	$41.36	$159.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.61 / $33.09 / $67.87	Professional		$20.61	$33.09	$67.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.00 / $37.90 / $69.18	Professional		$36.00	$37.90	$69.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.76 / $35.95 / $60.21	Professional		$28.76	$35.95	$60.21
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $34.57 / $34.57 / $34.57	Facility		$34.57	$34.57	$34.57
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $34.57 / $34.57 / $55.10	Professional		$34.57	$34.57	$55.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.39 / $31.39 / $31.39	Facility		$31.39	$31.39	$31.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.33 / $45.70 / $89.81	Professional		$24.33	$45.70	$89.81
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $36.42 / $45.00 / $332.00	Facility		$36.42	$45.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $52.74 / $83.43	Professional		$38.90	$52.74	$83.43
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.19 / $26.29 / $35.88	Facility		$22.19	$26.29	$35.88
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.19 / $43.07 / $70.34	Professional		$22.19	$43.07	$70.34
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $27.84 / $34.04 / $49.71	Professional		$27.84	$34.04	$49.71
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.38 / $50.82 / $51.62	Professional		$48.38	$50.82	$51.62
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $31.39 / $31.39 / $46.76	Facility		$31.39	$31.39	$46.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $25.09 / $48.94 / $95.50	Professional		$25.09	$48.94	$95.50
United Facility/Professional Professional Modifier Low / Median / High Price $32.08 / $44.11 / $86.71	Professional		$32.08	$44.11	$86.71
Univera Facility/Professional Facility Modifier Low / Median / High Price $22.71 / $35.88 / $52.45	Facility		$22.71	$35.88	$52.45
Univera Facility/Professional Professional Modifier Low / Median / High Price $22.19 / $45.57 / $70.34	Professional		$22.19	$45.57	$70.34