Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.62 / $42.30 / $70.93	Facility		$24.62	$42.30	$70.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.81 / $37.25 / $83.68	Professional		$24.81	$37.25	$83.68
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $41.32 / $41.32 / $41.32	Professional	25	$41.32	$41.32	$41.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.74 / $39.70 / $65.09	Professional		$36.74	$39.70	$65.09
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $37.45 / $37.45 / $37.45	Professional	25	$37.45	$37.45	$37.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.54 / $40.68 / $74.87	Professional		$32.54	$40.68	$74.87
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $44.41 / $44.41 / $44.41	Facility		$44.41	$44.41	$44.41
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $44.41 / $44.41 / $57.31	Professional		$44.41	$44.41	$57.31
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 $29.58 / $50.86 / $100.97	Professional		$29.58	$50.86	$100.97
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $32.00 / $46.28 / $332.00	Facility		$32.00	$46.28	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $43.52 / $54.23 / $80.83	Professional		$43.52	$54.23	$80.83
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.42 / $37.25 / $44.33	Facility		$29.42	$37.25	$44.33
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.58 / $43.59 / $79.77	Professional		$34.58	$43.59	$79.77
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $35.11 / $36.61 / $51.12	Professional		$35.11	$36.61	$51.12
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.50 / $48.89 / $60.00	Professional		$27.50	$48.89	$60.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $39.92 / $39.92 / $47.14	Facility		$39.92	$39.92	$47.14
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $31.60 / $54.20 / $101.24	Professional		$31.60	$54.20	$101.24
United Facility/Professional Professional Modifier Low / Median / High Price $30.33 / $46.73 / $92.04	Professional		$30.33	$46.73	$92.04
Univera Facility/Professional Facility Modifier Low / Median / High Price $28.86 / $37.25 / $49.54	Facility		$28.86	$37.25	$49.54
Univera Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $45.63 / $76.70	Professional		$38.02	$45.63	$76.70