Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.36 / $20.92 / $38.72	Facility		$16.36	$20.92	$38.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.18 / $21.00 / $30.30	Professional		$16.18	$21.00	$30.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.25 / $35.25 / $35.25	Professional		$35.25	$35.25	$35.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.06 / $49.02 / $96.12	Facility		$48.06	$49.02	$96.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.33 / $22.33 / $70.20	Professional		$22.33	$22.33	$70.20
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $37.25 / $40.04 / $40.04	Facility		$37.25	$40.04	$40.04
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $40.04 / $40.04 / $40.04	Professional		$40.04	$40.04	$40.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.97 / $29.97 / $29.97	Facility		$29.97	$29.97	$29.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $29.97	Professional		$21.88	$21.88	$29.97
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $48.06 / $108.14 / $332.00	Facility		$48.06	$108.14	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $24.82 / $35.56 / $86.51	Professional		$24.82	$35.56	$86.51
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.30 / $30.30 / $30.30	Facility		$30.30	$30.30	$30.30
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.90 / $30.30 / $36.36	Professional		$28.90	$30.30	$36.36
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $20.61 / $20.61 / $22.42	Professional		$20.61	$20.61	$22.42
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.99 / $38.99 / $38.99	Professional		$38.99	$38.99	$38.99
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $29.97 / $29.97 / $555.00	Facility		$29.97	$29.97	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $22.08 / $74.48	Professional		$21.88	$22.08	$74.48
United Facility/Professional Professional Modifier Low / Median / High Price $15.98 / $23.98 / $41.43	Professional		$15.98	$23.98	$41.43
Univera Facility/Professional Facility Modifier Low / Median / High Price $28.90 / $28.90 / $30.30	Facility		$28.90	$28.90	$30.30
Univera Facility/Professional Professional Modifier Low / Median / High Price $28.90 / $28.90 / $30.70	Professional		$28.90	$28.90	$30.70