Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.94 / $32.33 / $98.40	Facility		$22.94	$32.33	$98.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.58 / $30.19 / $154.47	Professional		$22.58	$30.19	$154.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.76 / $31.39 / $55.87	Professional		$28.76	$31.39	$55.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.02 / $9.86 / $31.79	Professional		$8.02	$9.86	$31.79
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $45.27 / $45.27 / $45.27	Facility		$45.27	$45.27	$45.27
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $45.27 / $45.27 / $46.70	Professional		$45.27	$45.27	$46.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.92 / $39.92 / $39.92	Facility		$39.92	$39.92	$39.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.82 / $47.39 / $84.37	Professional		$24.82	$47.39	$84.37
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $46.28 / $73.80 / $332.00	Facility		$46.28	$73.80	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $30.57 / $41.44 / $62.86	Professional		$30.57	$41.44	$62.86
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.44 / $33.49 / $33.53	Facility		$20.44	$33.49	$33.53
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.44 / $33.89 / $62.54	Professional		$20.44	$33.89	$62.54
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $33.46 / $35.43 / $40.01	Professional		$33.46	$35.43	$40.01
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.28 / $41.17 / $64.02	Professional		$38.28	$41.17	$64.02
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $39.92 / $39.92 / $39.92	Facility		$39.92	$39.92	$39.92
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $27.79 / $46.86 / $84.37	Professional		$27.79	$46.86	$84.37
Optum Facility/Professional Professional Modifier Low / Median / High Price $31.18 / $36.33 / $43.92	Professional		$31.18	$36.33	$43.92
United Facility/Professional Professional Modifier Low / Median / High Price $24.68 / $37.27 / $75.81	Professional		$24.68	$37.27	$75.81
Univera Facility/Professional Facility Modifier Low / Median / High Price $28.97 / $30.78 / $34.47	Facility		$28.97	$30.78	$34.47
Univera Facility/Professional Professional Modifier Low / Median / High Price $20.44 / $34.76 / $73.37	Professional		$20.44	$34.76	$73.37