Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.09 / $56.98 / $121.96	Facility		$33.09	$56.98	$121.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.97 / $37.40 / $56.75	Professional		$23.97	$37.40	$56.75
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $85.57 / $85.57 / $85.57	Professional	25	$85.57	$85.57	$85.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.24 / $56.69 / $58.70	Professional		$46.24	$56.69	$58.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.57 / $32.13 / $74.45	Professional		$24.57	$32.13	$74.45
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $42.98 / $42.98 / $42.98	Facility		$42.98	$42.98	$42.98
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $42.98 / $42.98 / $64.94	Professional		$42.98	$42.98	$64.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.70 / $57.70 / $57.70	Facility		$57.70	$57.70	$57.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.26 / $57.58 / $130.91	Professional		$29.26	$57.58	$130.91
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $15.12 / $15.12 / $319.00	Facility		$15.12	$15.12	$319.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $57.13 / $80.42 / $111.82	Professional		$57.13	$80.42	$111.82
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.77 / $28.77 / $51.53	Facility		$28.77	$28.77	$51.53
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.35 / $54.59 / $111.75	Professional		$37.35	$54.59	$111.75
Fidelis Facility/Professional Professional Modifier 25 Low / Median / High Price $50.09 / $50.09 / $50.09	Professional	25	$50.09	$50.09	$50.09
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $57.70 / $57.70 / $555.00	Facility		$57.70	$57.70	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $33.26 / $57.64 / $129.69	Professional		$33.26	$57.64	$129.69
Optum Facility/Professional Professional Modifier Low / Median / High Price $50.32 / $57.01 / $63.07	Professional		$50.32	$57.01	$63.07
United Facility/Professional Professional Modifier Low / Median / High Price $37.24 / $56.87 / $115.21	Professional		$37.24	$56.87	$115.21
Univera Facility/Professional Facility Modifier Low / Median / High Price $51.53 / $53.16 / $53.16	Facility		$51.53	$53.16	$53.16
Univera Facility/Professional Professional Modifier Low / Median / High Price $49.94 / $66.59 / $113.01	Professional		$49.94	$66.59	$113.01