Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.54 / $26.60 / $1,728.00	Facility		$13.54	$26.60	$1,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.29 / $19.88 / $43.45	Professional		$11.29	$19.88	$43.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.28 / $17.28 / $17.28	Professional		$17.28	$17.28	$17.28
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $26.74 / $26.74 / $26.74	Professional	50	$26.74	$26.74	$26.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $3,373.00 / $4,707.00	Facility		$1,689.00	$3,373.00	$4,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.66 / $19.17 / $55.66	Professional		$14.66	$19.17	$55.66
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $21.99 / $27.84 / $80.59	Professional	50	$21.99	$27.84	$80.59
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $16.12 / $16.12 / $4,050.00	Facility		$16.12	$16.12	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $16.12 / $16.12 / $26.62	Professional		$16.12	$16.12	$26.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.10 / $19.10 / $14,648.00	Facility		$19.10	$19.10	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.03 / $29.14 / $85.75	Professional		$12.03	$29.14	$85.75
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $12.83 / $18.72 / $332.00	Facility		$12.83	$18.72	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $22.80 / $31.03 / $55.01	Professional		$22.80	$31.03	$55.01
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.38 / $18.38 / $18.38	Facility		$18.38	$18.38	$18.38
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.60 / $27.58 / $41.02	Professional		$17.60	$27.58	$41.02
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $230.40 / $230.40 / $230.40	Facility		$230.40	$230.40	$230.40
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.45 / $23.00 / $27.05	Professional		$21.45	$23.00	$27.05
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $19.10 / $555.00 / $597.00	Facility		$19.10	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $13.32 / $29.14 / $90.08	Professional		$13.32	$29.14	$90.08
United Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,826.00 / $4,851.00	Facility		$964.00	$2,826.00	$4,851.00
United Facility/Professional Professional Modifier Low / Median / High Price $17.03 / $25.34 / $60.66	Professional		$17.03	$25.34	$60.66
Univera Facility/Professional Facility Modifier Low / Median / High Price $13.38 / $13.38 / $142.97	Facility		$13.38	$13.38	$142.97
Univera Facility/Professional Professional Modifier Low / Median / High Price $18.38 / $26.02 / $41.02	Professional		$18.38	$26.02	$41.02