Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.60 / $75.61 / $180.56	Facility		$29.60	$75.61	$180.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.23 / $25.68 / $48.39	Professional		$19.23	$25.68	$48.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.99 / $14.11 / $14.80	Professional		$7.99	$14.11	$14.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.60 / $29.60 / $76.95	Facility		$29.60	$29.60	$76.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.12 / $17.89 / $67.68	Professional		$14.12	$17.89	$67.68
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $17.76 / $29.60 / $29.60	Facility		$17.76	$29.60	$29.60
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $21.61 / $29.60 / $29.60	Professional		$21.61	$29.60	$29.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.69 / $60.06 / $305.52	Facility		$20.69	$60.06	$305.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.12 / $33.24 / $64.95	Professional		$22.12	$33.24	$64.95
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $24.10 / $41.69 / $332.00	Facility		$24.10	$41.69	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $13.53 / $17.76 / $54.17	Professional		$13.53	$17.76	$54.17
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.60 / $29.60 / $29.60	Facility		$29.60	$29.60	$29.60
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.58 / $29.60 / $38.53	Professional		$25.58	$29.60	$38.53
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $17.76 / $17.76 / $23.68	Professional		$17.76	$17.76	$23.68
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.73 / $42.96 / $126.40	Facility		$19.73	$42.96	$126.40
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.73 / $19.73 / $19.73	Professional		$19.73	$19.73	$19.73
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $27.13 / $72.36 / $353.49	Facility		$27.13	$72.36	$353.49
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $23.76 / $41.74 / $60.98	Professional		$23.76	$41.74	$60.98
United Facility/Professional Professional Modifier Low / Median / High Price $12.43 / $17.76 / $46.66	Professional		$12.43	$17.76	$46.66
Univera Facility/Professional Facility Modifier Low / Median / High Price $34.04 / $34.04 / $106.94	Facility		$34.04	$34.04	$106.94
Univera Facility/Professional Professional Modifier Low / Median / High Price $25.58 / $33.24 / $40.61	Professional		$25.58	$33.24	$40.61