Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.76 / $31.53 / $98.23	Facility		$24.76	$31.53	$98.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.13 / $31.12 / $43.03	Professional		$24.13	$31.12	$43.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.03 / $24.03 / $33.97	Professional		$24.03	$24.03	$33.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.95 / $33.47 / $42.08	Professional		$26.95	$33.47	$42.08
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $46.31 / $46.31 / $46.31	Facility		$46.31	$46.31	$46.31
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $46.31 / $46.31 / $50.61	Professional		$46.31	$46.31	$50.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.60 / $42.60 / $42.60	Facility		$42.60	$42.60	$42.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.44 / $47.21 / $94.67	Professional		$25.44	$47.21	$94.67
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $11.06 / $11.06 / $319.00	Facility		$11.06	$11.06	$319.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $35.44 / $49.62 / $69.66	Professional		$35.44	$49.62	$69.66
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.70 / $34.70 / $39.38	Facility		$34.70	$34.70	$39.38
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.71 / $36.92 / $62.93	Professional		$20.71	$36.92	$62.93
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.09 / $193.24 / $207.74	Facility		$30.09	$193.24	$207.74
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.24 / $30.24 / $30.57	Professional		$30.24	$30.24	$30.57
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $42.60 / $42.60 / $555.00	Facility		$42.60	$42.60	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $23.36 / $47.09 / $93.04	Professional		$23.36	$47.09	$93.04
Optum Facility/Professional Professional Modifier Low / Median / High Price $26.18 / $36.06 / $46.91	Professional		$26.18	$36.06	$46.91
United Facility/Professional Professional Modifier Low / Median / High Price $27.48 / $37.45 / $78.12	Professional		$27.48	$37.45	$78.12
Univera Facility/Professional Facility Modifier Low / Median / High Price $30.51 / $34.70 / $34.70	Facility		$30.51	$34.70	$34.70
Univera Facility/Professional Professional Modifier Low / Median / High Price $33.04 / $43.51 / $80.61	Professional		$33.04	$43.51	$80.61