Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $17.78 / $109.65	Facility		$10.96	$17.78	$109.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $15.85 / $46.77	Professional		$10.00	$15.85	$46.77
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $25.12 / $44.67 / $44.67	Professional	25	$25.12	$44.67	$44.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $15.14 / $25.12	Professional		$12.88	$15.14	$25.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $14.45 / $20.42	Professional		$12.30	$14.45	$20.42
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $18.20	Facility		$18.20	$18.20	$18.20
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $20.89	Professional		$18.20	$18.20	$20.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $19.50 / $19.50	Facility		$19.50	$19.50	$19.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $20.42 / $40.74	Professional		$12.59	$20.42	$40.74
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $13.18 / $52.48	Facility		$12.88	$13.18	$52.48
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $21.88 / $30.90	Professional		$16.98	$21.88	$30.90
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $12.30 / $14.13	Facility		$12.30	$12.30	$14.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $16.60 / $30.20	Professional		$12.30	$16.60	$30.20
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $23.99 / $24.55	Professional		$20.42	$23.99	$24.55
Highmark BCBS Facility/Professional Professional Modifier 25 Low / Median / High Price $23.99 / $23.99 / $23.99	Professional	25	$23.99	$23.99	$23.99
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $21.38 / $33.11	Professional		$16.98	$21.38	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $14.79 / $27.54	Professional		$9.55	$14.79	$27.54
Univera Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $12.30 / $19.95	Facility		$12.30	$12.30	$19.95
Univera Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $16.60 / $30.20	Professional		$12.30	$16.60	$30.20