Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.57 / $46.14 / $118.35	Facility		$18.57	$46.14	$118.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.01 / $37.29 / $73.23	Professional		$17.01	$37.29	$73.23
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $128.00 / $128.00 / $128.00	Professional	25	$128.00	$128.00	$128.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.54 / $46.37 / $80.45	Professional		$40.54	$46.37	$80.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.14 / $38.01 / $112.98	Professional		$18.14	$38.01	$112.98
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $26.69 / $26.69 / $26.69	Facility		$26.69	$26.69	$26.69
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $26.69 / $26.69 / $60.59	Professional		$26.69	$26.69	$60.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.21 / $24.21 / $24.21	Facility		$24.21	$24.21	$24.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.88 / $39.88 / $39.88	Professional		$39.88	$39.88	$39.88
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $4.05 / $332.00	Facility		$1.00	$4.05	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $49.65 / $62.05 / $90.27	Professional		$49.65	$62.05	$90.27
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.88 / $41.60 / $41.60	Facility		$17.88	$41.60	$41.60
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.11 / $40.36 / $77.06	Professional		$36.11	$40.36	$77.06
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $45.77 / $45.77 / $45.77	Professional		$45.77	$45.77	$45.77
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.03 / $44.45 / $49.92	Professional		$43.03	$44.45	$49.92
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $24.21 / $24.21 / $24.21	Facility		$24.21	$24.21	$24.21
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $39.88 / $39.88 / $88.04	Professional		$39.88	$39.88	$88.04
United Facility/Professional Professional Modifier Low / Median / High Price $37.11 / $48.28 / $97.39	Professional		$37.11	$48.28	$97.39
Univera Facility/Professional Facility Modifier Low / Median / High Price $17.54 / $20.17 / $41.60	Facility		$17.54	$20.17	$41.60
Univera Facility/Professional Professional Modifier Low / Median / High Price $39.52 / $44.55 / $56.38	Professional		$39.52	$44.55	$56.38