Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.71 / $32.89 / $52.91	Facility		$20.71	$32.89	$52.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.71 / $27.02 / $63.14	Professional		$20.71	$27.02	$63.14
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $27.34 / $27.34 / $57.90	Professional	25	$27.34	$27.34	$57.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $27.77 / $29.34 / $50.76	Professional		$27.77	$29.34	$50.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.03 / $30.12 / $55.87	Professional		$25.03	$30.12	$55.87
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $36.53 / $36.53 / $36.53	Facility		$36.53	$36.53	$36.53
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $36.53 / $36.53 / $41.78	Professional		$36.53	$36.53	$41.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.97 / $33.97 / $33.97	Facility		$33.97	$33.97	$33.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.00 / $44.41 / $94.18	Professional		$23.00	$44.41	$94.18
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $27.08 / $39.39 / $332.00	Facility		$27.08	$39.39	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $29.60 / $39.96 / $59.81	Professional		$29.60	$39.96	$59.81
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.81 / $27.56 / $32.79	Facility		$23.81	$27.56	$32.79
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.81 / $32.24 / $58.97	Professional		$23.81	$32.24	$58.97
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $22.32 / $25.49 / $25.49	Professional		$22.32	$25.49	$25.49
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.40 / $40.67 / $44.57	Professional		$37.40	$40.67	$44.57
Highmark BCBS Facility/Professional Professional Modifier 25 Low / Median / High Price $40.27 / $40.27 / $40.27	Professional	25	$40.27	$40.27	$40.27
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $33.97 / $33.97 / $35.38	Facility		$33.97	$33.97	$35.38
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $26.73 / $42.25 / $79.22	Professional		$26.73	$42.25	$79.22
United Facility/Professional Professional Modifier Low / Median / High Price $22.20 / $32.89 / $67.98	Professional		$22.20	$32.89	$67.98
Univera Facility/Professional Facility Modifier Low / Median / High Price $24.25 / $27.56 / $41.22	Facility		$24.25	$27.56	$41.22
Univera Facility/Professional Professional Modifier Low / Median / High Price $23.81 / $33.04 / $64.08	Professional		$23.81	$33.04	$64.08