Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.67 / $137.47 / $474.41	Facility		$43.67	$137.47	$474.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.61 / $60.22 / $330.11	Professional		$31.61	$60.22	$330.11
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $217.68 / $217.68 / $217.68	Professional	25	$217.68	$217.68	$217.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $51.72 / $54.00 / $83.98	Professional		$51.72	$54.00	$83.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.90 / $62.30 / $95.37	Professional		$47.90	$62.30	$95.37
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $78.39 / $78.39 / $78.39	Facility		$78.39	$78.39	$78.39
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $78.39 / $78.39 / $78.39	Professional		$78.39	$78.39	$78.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.58 / $61.58 / $61.58	Facility		$61.58	$61.58	$61.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.80 / $48.80 / $48.80	Professional		$48.80	$48.80	$48.80
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $85.06 / $332.00	Facility		$35.00	$85.06	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $54.59 / $73.98 / $111.86	Professional		$54.59	$73.98	$111.86
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.74 / $51.55 / $72.16	Facility		$42.74	$51.55	$72.16
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.59 / $68.12 / $116.27	Professional		$42.59	$68.12	$116.27
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $47.76 / $63.68 / $71.14	Professional		$47.76	$63.68	$71.14
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.64 / $120.76 / $150.41	Facility		$63.64	$120.76	$150.41
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.69 / $82.46 / $131.65	Professional		$58.69	$82.46	$131.65
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $61.58 / $61.58 / $61.58	Facility		$61.58	$61.58	$61.58
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $48.80 / $56.66 / $116.93	Professional		$48.80	$56.66	$116.93
United Facility/Professional Professional Modifier Low / Median / High Price $42.53 / $60.65 / $127.12	Professional		$42.53	$60.65	$127.12
Univera Facility/Professional Facility Modifier Low / Median / High Price $51.55 / $59.17 / $72.16	Facility		$51.55	$59.17	$72.16
Univera Facility/Professional Professional Modifier Low / Median / High Price $42.75 / $59.17 / $129.97	Professional		$42.75	$59.17	$129.97