Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $39.81 / $123.03	Facility		$15.14	$39.81	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $13.49 / $40.74	Professional		$10.96	$13.49	$40.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $12.88 / $15.14	Professional		$4.07	$12.88	$15.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $15.14 / $38.90	Facility		$15.14	$15.14	$38.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $8.51 / $35.48	Professional		$7.41	$8.51	$35.48
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $15.14 / $15.14	Facility		$9.12	$15.14	$15.14
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $15.14 / $15.14	Professional		$10.96	$15.14	$15.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $32.36 / $162.18	Facility		$11.48	$32.36	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $17.78 / $100.00	Professional		$11.22	$17.78	$100.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $19.50 / $54.95	Facility		$13.49	$19.50	$54.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $10.47 / $29.51	Professional		$7.08	$10.47	$29.51
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $12.59 / $12.59	Facility		$12.59	$12.59	$12.59
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $15.14 / $19.50	Professional		$12.59	$15.14	$19.50
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $30.20 / $74.13	Facility		$12.02	$30.20	$74.13
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Professional		$10.00	$10.00	$10.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $26.92 / $50,118.72	Facility		$16.22	$26.92	$50,118.72
United Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $13.49 / $18.20	Facility		$9.12	$13.49	$18.20
United Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $9.12 / $22.91	Professional		$6.31	$9.12	$22.91
Univera Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $12.88 / $35.48	Facility		$12.59	$12.88	$35.48
Univera Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $15.14 / $43.65	Professional		$12.59	$15.14	$43.65