Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.93 / $25.77 / $257.86	Facility		$16.93	$25.77	$257.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.93 / $26.26 / $57.28	Professional		$16.93	$26.26	$57.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.25 / $26.76 / $35.94	Professional		$25.25	$26.76	$35.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.34 / $24.58 / $52.77	Professional		$19.34	$24.58	$52.77
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $37.04 / $37.04 / $37.04	Facility		$37.04	$37.04	$37.04
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $37.04 / $37.04 / $40.39	Professional		$37.04	$37.04	$40.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.67 / $33.67 / $33.67	Facility		$33.67	$33.67	$33.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.70 / $24.70 / $24.70	Professional		$24.70	$24.70	$24.70
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $21.39 / $39.06 / $332.00	Facility		$21.39	$39.06	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $30.43 / $37.89 / $56.70	Professional		$30.43	$37.89	$56.70
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.08 / $26.13 / $31.09	Facility		$25.08	$26.13	$31.09
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.85 / $30.57 / $59.01	Professional		$22.85	$30.57	$59.01
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $29.56 / $31.67 / $31.67	Professional		$29.56	$31.67	$31.67
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.75 / $31.45 / $68.14	Professional		$29.75	$31.45	$68.14
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $33.67 / $33.67 / $33.67	Facility		$33.67	$33.67	$33.67
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $24.70 / $30.36 / $64.08	Professional		$24.70	$30.36	$64.08
United Facility/Professional Professional Modifier Low / Median / High Price $23.83 / $33.09 / $65.48	Professional		$23.83	$33.09	$65.48
Univera Facility/Professional Facility Modifier Low / Median / High Price $26.13 / $27.33 / $31.09	Facility		$26.13	$27.33	$31.09
Univera Facility/Professional Professional Modifier Low / Median / High Price $24.73 / $30.57 / $65.34	Professional		$24.73	$30.57	$65.34