Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.69 / $28.59 / $104.61	Facility		$24.69	$28.59	$104.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.07 / $31.80 / $82.89	Professional		$25.07	$31.80	$82.89
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $25.86 / $50.51 / $53.78	Professional	25	$25.86	$50.51	$53.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $27.95 / $31.06 / $58.04	Professional		$27.95	$31.06	$58.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.32 / $23.96 / $57.44	Professional		$18.32	$23.96	$57.44
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $45.27 / $45.27 / $45.27	Facility		$45.27	$45.27	$45.27
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $45.27 / $45.27 / $46.70	Professional		$45.27	$45.27	$46.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.14 / $41.14 / $41.14	Facility		$41.14	$41.14	$41.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.57 / $28.57 / $28.57	Professional		$28.57	$28.57	$28.57
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $23.81 / $47.80 / $332.00	Facility		$23.81	$47.80	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $35.15 / $43.78 / $65.51	Professional		$35.15	$43.78	$65.51
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.19 / $30.19 / $35.93	Facility		$30.19	$30.19	$35.93
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.60 / $35.33 / $65.70	Professional		$28.60	$35.33	$65.70
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $26.28 / $26.28 / $26.28	Professional		$26.28	$26.28	$26.28
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.90 / $39.29 / $64.02	Professional		$32.90	$39.29	$64.02
Highmark BCBS Facility/Professional Professional Modifier 25 Low / Median / High Price $38.28 / $38.28 / $38.28	Professional	25	$38.28	$38.28	$38.28
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $41.14 / $41.14 / $41.14	Facility		$41.14	$41.14	$41.14
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $28.57 / $34.34 / $76.23	Professional		$28.57	$34.34	$76.23
Optum Facility/Professional Professional Modifier Low / Median / High Price $33.50 / $36.33 / $54.00	Professional		$33.50	$36.33	$54.00
United Facility/Professional Professional Modifier Low / Median / High Price $25.20 / $37.74 / $75.81	Professional		$25.20	$37.74	$75.81
Univera Facility/Professional Facility Modifier Low / Median / High Price $30.19 / $32.04 / $35.93	Facility		$30.19	$32.04	$35.93
Univera Facility/Professional Professional Modifier Low / Median / High Price $31.04 / $36.52 / $77.29	Professional		$31.04	$36.52	$77.29