Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.38 / $32.75 / $85.58	Facility		$12.38	$32.75	$85.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.07 / $12.97 / $14.57	Professional		$12.07	$12.97	$14.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.57 / $14.57 / $37.88	Facility		$14.57	$14.57	$37.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.95 / $8.81 / $32.89	Professional		$6.95	$8.81	$32.89
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $8.74 / $14.57 / $14.57	Facility		$8.74	$14.57	$14.57
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $10.64 / $14.57 / $14.57	Professional		$10.64	$14.57	$14.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.18 / $29.67 / $149.77	Facility		$10.18	$29.67	$149.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.84 / $16.44 / $93.66	Professional		$10.84	$16.44	$93.66
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $13.10 / $21.86 / $332.00	Facility		$13.10	$21.86	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.66 / $8.74 / $26.66	Professional		$6.66	$8.74	$26.66
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.57 / $14.57 / $14.57	Facility		$14.57	$14.57	$14.57
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.85 / $14.57 / $18.80	Professional		$12.85	$14.57	$18.80
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $10.19 / $10.19	Professional		$10.19	$10.19	$10.19
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.91 / $37.14 / $64.90	Facility		$10.91	$37.14	$64.90
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.61 / $9.71 / $9.71	Professional		$9.61	$9.71	$9.71
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $14.21 / $35.75 / $196.36	Facility		$14.21	$35.75	$196.36
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $11.66 / $16.44 / $30.01	Professional		$11.66	$16.44	$30.01
United Facility/Professional Professional Modifier Low / Median / High Price $6.12 / $8.74 / $22.97	Professional		$6.12	$8.74	$22.97
Univera Facility/Professional Facility Modifier Low / Median / High Price $16.76 / $16.76 / $53.68	Facility		$16.76	$16.76	$53.68
Univera Facility/Professional Professional Modifier Low / Median / High Price $12.85 / $15.76 / $19.34	Professional		$12.85	$15.76	$19.34