Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.61 / $27.63 / $53.48	Facility		$24.61	$27.63	$53.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.61 / $27.73 / $53.48	Professional		$24.61	$27.73	$53.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.76 / $36.76 / $36.76	Professional		$36.76	$36.76	$36.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.34 / $28.34 / $83.60	Professional		$28.34	$28.34	$83.60
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $43.82 / $47.12 / $47.12	Facility		$43.82	$47.12	$47.12
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $47.12 / $47.12 / $47.12	Professional		$47.12	$47.12	$47.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.97 / $33.97 / $35.97	Facility		$33.97	$33.97	$35.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.88 / $28.88 / $39.97	Professional		$28.88	$28.88	$39.97
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $56.56 / $127.26 / $332.00	Facility		$56.56	$127.26	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $32.64 / $42.42 / $103.50	Professional		$32.64	$42.42	$103.50
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.79 / $40.79 / $40.79	Facility		$40.79	$40.79	$40.79
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.79 / $40.88 / $47.12	Professional		$40.79	$40.88	$47.12
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $38.56 / $38.56 / $38.56	Professional		$38.56	$38.56	$38.56
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.22 / $36.22 / $36.22	Professional		$36.22	$36.22	$36.22
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $33.97 / $33.97 / $555.00	Facility		$33.97	$33.97	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $28.88 / $30.03 / $82.03	Professional		$28.88	$30.03	$82.03
United Facility/Professional Professional Modifier Low / Median / High Price $18.80 / $28.22 / $48.75	Professional		$18.80	$28.22	$48.75
Univera Facility/Professional Facility Modifier Low / Median / High Price $40.47 / $40.88 / $40.88	Facility		$40.47	$40.88	$40.88
Univera Facility/Professional Professional Modifier Low / Median / High Price $40.79 / $40.88 / $40.88	Professional		$40.79	$40.88	$40.88