Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.56 / $80.45 / $128.61	Facility		$54.56	$80.45	$128.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.20 / $66.27 / $151.00	Professional		$54.20	$66.27	$151.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $66.70 / $124.88 / $204.52	Professional	25	$66.70	$124.88	$204.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.84 / $117.77 / $117.77	Professional		$64.84	$117.77	$117.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.50 / $59.16 / $127.49	Professional		$47.50	$59.16	$127.49
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $103.46 / $103.46 / $103.46	Facility		$103.46	$103.46	$103.46
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $103.46 / $103.46 / $103.93	Professional		$103.46	$103.46	$103.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.80 / $94.80 / $94.80	Facility		$94.80	$94.80	$94.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.74 / $103.97 / $189.26	Professional		$55.74	$103.97	$189.26
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $34.89 / $110.02 / $332.00	Facility		$34.89	$110.02	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $78.01 / $96.21 / $145.37	Professional		$78.01	$96.21	$145.37
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.98 / $66.98 / $79.72	Facility		$66.98	$66.98	$79.72
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.27 / $78.38 / $144.63	Professional		$62.27	$78.38	$144.63
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.98 / $96.48 / $133.28	Professional		$66.98	$96.48	$133.28
Highmark BCBS Facility/Professional Professional Modifier 25 Low / Median / High Price $98.40 / $98.40 / $98.40	Professional	25	$98.40	$98.40	$98.40
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $94.80 / $94.80 / $94.80	Facility		$94.80	$94.80	$94.80
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $64.41 / $107.98 / $303.50	Professional		$64.41	$107.98	$303.50
United Facility/Professional Professional Modifier Low / Median / High Price $55.39 / $84.13 / $163.11	Professional		$55.39	$84.13	$163.11
United Facility/Professional Professional Modifier 25 Low / Median / High Price $94.07 / $94.07 / $94.07	Professional	25	$94.07	$94.07	$94.07
Univera Facility/Professional Facility Modifier Low / Median / High Price $66.98 / $68.31 / $112.80	Facility		$66.98	$68.31	$112.80
Univera Facility/Professional Professional Modifier Low / Median / High Price $68.94 / $82.73 / $173.64	Professional		$68.94	$82.73	$173.64