Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.99 / $46.36 / $5,896.48	Facility		$27.99	$46.36	$5,896.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.99 / $28.26 / $38.43	Professional		$27.99	$28.26	$38.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $27.99 / $27.99 / $27.99	Professional		$27.99	$27.99	$27.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $22.39 / $27.99	Facility		$22.39	$22.39	$27.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.15 / $27.99 / $35.20	Professional		$23.15	$27.99	$35.20
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $55.79 / $55.79 / $58.58	Facility		$55.79	$55.79	$58.58
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $55.79 / $55.79 / $55.79	Professional		$55.79	$55.79	$55.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.33 / $37.85 / $82.36	Facility		$22.33	$37.85	$82.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.99 / $27.99 / $27.99	Professional		$27.99	$27.99	$27.99
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $25.68 / $41.09 / $332.00	Facility		$25.68	$41.09	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $23.67 / $25.68 / $48.86	Professional		$23.67	$25.68	$48.86
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.99 / $27.99 / $31.35	Facility		$27.99	$27.99	$31.35
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.99 / $31.35 / $31.35	Professional		$27.99	$31.35	$31.35
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.96 / $82.36 / $96.89	Facility		$23.96	$82.36	$96.89
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $32.40 / $82.36	Professional		$22.39	$32.40	$82.36
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $22.33 / $72.26 / $82.36	Facility		$22.33	$72.26	$82.36
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $27.91 / $27.99 / $27.99	Professional		$27.91	$27.99	$27.99
United Facility/Professional Professional Modifier Low / Median / High Price $27.99 / $29.67 / $41.99	Professional		$27.99	$29.67	$41.99
Univera Facility/Professional Facility Modifier Low / Median / High Price $31.35 / $31.35 / $31.35	Facility		$31.35	$31.35	$31.35
Univera Facility/Professional Professional Modifier Low / Median / High Price $27.99 / $31.35 / $31.35	Professional		$27.99	$31.35	$31.35