Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $38.02 / $309.03	Facility		$25.12	$38.02	$309.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $34.67 / $128.82	Professional		$24.55	$34.67	$128.82
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $48.98 / $53.70 / $323.59	Professional	25	$48.98	$53.70	$323.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $30.90 / $39.81	Professional		$25.12	$30.90	$39.81
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $31.62 / $31.62 / $31.62	Professional	25	$31.62	$31.62	$31.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $21.38 / $37.15	Professional		$18.20	$21.38	$37.15
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Facility		$45.71	$45.71	$45.71
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $46.77	Professional		$45.71	$45.71	$46.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $47.86 / $47.86	Facility		$47.86	$47.86	$47.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $47.86	Professional		$28.84	$28.84	$47.86
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $23.99 / $97.72	Facility		$23.44	$23.99	$97.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $47.86 / $67.61	Professional		$38.02	$47.86	$67.61
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $36.31	Facility		$30.20	$30.20	$36.31
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $35.48 / $67.61	Professional		$27.54	$35.48	$67.61
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.90 / $54.95	Professional		$38.02	$38.90	$54.95
Highmark BCBS Facility/Professional Professional Modifier 25 Low / Median / High Price $38.02 / $38.02 / $38.02	Professional	25	$38.02	$38.02	$38.02
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $46.77 / $72.44	Professional		$38.90	$46.77	$72.44
Optum Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $38.02 / $51.29	Professional		$33.88	$38.02	$51.29
United Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $35.48 / $64.57	Professional		$23.44	$35.48	$64.57
Univera Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $32.36 / $33.88	Facility		$26.30	$32.36	$33.88
Univera Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $35.48 / $64.57	Professional		$27.54	$35.48	$64.57