Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.78 / $30.78 / $187.61	Facility		$21.78	$30.78	$187.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.79 / $33.18 / $63.15	Professional		$21.79	$33.18	$63.15
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $39.76 / $44.22 / $144.00	Professional	25	$39.76	$44.22	$144.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $10.90 / $15.39 / $22.28	Professional	52	$10.90	$15.39	$22.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.70 / $36.54 / $42.51	Professional		$35.70	$36.54	$42.51
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $36.54 / $36.54 / $40.69	Professional	25	$36.54	$36.54	$40.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.75 / $38.19 / $72.44	Professional		$30.75	$38.19	$72.44
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $38.60 / $38.60 / $38.60	Facility		$38.60	$38.60	$38.60
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $38.60 / $38.60 / $54.83	Professional		$38.60	$38.60	$54.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.77 / $35.77 / $35.77	Facility		$35.77	$35.77	$35.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.82 / $34.82 / $34.82	Professional		$34.82	$34.82	$34.82
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $41.56 / $45.00 / $332.00	Facility		$41.56	$45.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $43.61 / $54.69 / $78.64	Professional		$43.61	$54.69	$78.64
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.69 / $36.24 / $46.02	Facility		$26.69	$36.24	$46.02
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.90 / $46.02 / $78.73	Professional		$31.90	$46.02	$78.73
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $35.27 / $46.04 / $49.56	Professional		$35.27	$46.04	$49.56
Fidelis Facility/Professional Professional Modifier 25 Low / Median / High Price $47.07 / $47.10 / $47.10	Professional	25	$47.07	$47.10	$47.10
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.72 / $39.65 / $93.57	Professional		$33.72	$39.65	$93.57
Highmark BCBS Facility/Professional Professional Modifier 25 Low / Median / High Price $33.02 / $39.22 / $39.65	Professional	25	$33.02	$39.22	$39.65
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $35.77 / $35.77 / $35.77	Facility		$35.77	$35.77	$35.77
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $34.82 / $42.36 / $97.65	Professional		$34.82	$42.36	$97.65
United Facility/Professional Professional Modifier Low / Median / High Price $32.07 / $44.62 / $99.82	Professional		$32.07	$44.62	$99.82
Univera Facility/Professional Facility Modifier Low / Median / High Price $29.35 / $29.35 / $46.02	Facility		$29.35	$29.35	$46.02
Univera Facility/Professional Professional Modifier Low / Median / High Price $29.35 / $46.02 / $86.41	Professional		$29.35	$46.02	$86.41