Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.75 / $31.03 / $81.22	Facility		$20.75	$31.03	$81.22
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $48.17 / $48.17 / $72.90	Facility	25	$48.17	$48.17	$72.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.75 / $25.69 / $58.52	Professional		$20.75	$25.69	$58.52
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $25.11 / $58.34 / $94.80	Professional	25	$25.11	$58.34	$94.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.50 / $27.50 / $43.33	Professional		$23.50	$27.50	$43.33
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $23.50 / $29.24 / $49.50	Professional	25	$23.50	$29.24	$49.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $32.74 / $56.01	Professional		$0.80	$32.74	$56.01
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $36.04 / $36.04 / $36.04	Facility		$36.04	$36.04	$36.04
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $36.04 / $36.04 / $40.35	Professional		$36.04	$36.04	$40.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.15 / $33.15 / $33.15	Facility		$33.15	$33.15	$33.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.57 / $36.88 / $68.56	Professional		$21.57	$36.88	$68.56
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $25.53 / $38.38 / $332.00	Facility		$25.53	$38.38	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $27.51 / $37.29 / $55.81	Professional		$27.51	$37.29	$55.81
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.72 / $27.01 / $32.65	Facility		$25.72	$27.01	$32.65
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.49 / $31.76 / $50.41	Professional		$22.49	$31.76	$50.41
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $23.95 / $24.15 / $29.65	Professional		$23.95	$24.15	$29.65
Fidelis Facility/Professional Professional Modifier 25 Low / Median / High Price $24.15 / $24.15 / $24.15	Professional	25	$24.15	$24.15	$24.15
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.19 / $120.19 / $120.19	Facility		$120.19	$120.19	$120.19
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.77 / $35.74 / $157.51	Professional		$29.77	$35.74	$157.51
Highmark BCBS Facility/Professional Professional Modifier 25 Low / Median / High Price $37.34 / $56.50 / $56.50	Professional	25	$37.34	$56.50	$56.50
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $33.15 / $33.15 / $33.35	Facility		$33.15	$33.15	$33.35
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $21.94 / $38.53 / $69.88	Professional		$21.94	$38.53	$69.88
Optum Facility/Professional Professional Modifier Low / Median / High Price $20.60 / $20.60 / $20.60	Professional		$20.60	$20.60	$20.60
United Facility/Professional Professional Modifier Low / Median / High Price $22.88 / $32.82 / $65.39	Professional		$22.88	$32.82	$65.39
Univera Facility/Professional Facility Modifier Low / Median / High Price $12.71 / $25.72 / $54.74	Facility		$12.71	$25.72	$54.74
Univera Facility/Professional Professional Modifier Low / Median / High Price $26.46 / $34.61 / $63.25	Professional		$26.46	$34.61	$63.25