Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $64.57 / $199.53	Facility		$24.55	$64.57	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $25.12 / $107.15	Professional		$19.95	$25.12	$107.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $7.59 / $28.18	Professional		$7.59	$7.59	$28.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $28.18 / $72.44	Facility		$28.18	$28.18	$72.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $14.13 / $66.07	Professional		$13.80	$14.13	$66.07
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $28.18 / $28.18	Facility		$16.60	$28.18	$28.18
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $28.18 / $28.18	Professional		$20.42	$28.18	$28.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $60.26 / $302.00	Facility		$21.38	$60.26	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $33.11 / $186.21	Professional		$18.20	$33.11	$186.21
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $33.88 / $79.43	Facility		$19.50	$33.88	$79.43
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $28.18 / $52.48	Professional		$13.18	$28.18	$52.48
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $28.18 / $28.18	Facility		$28.18	$28.18	$28.18
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $28.18 / $37.15	Professional		$23.99	$28.18	$37.15
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $57.54 / $134.90	Facility		$20.42	$57.54	$134.90
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $18.62 / $18.62	Professional		$16.60	$18.62	$18.62
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $52.48 / $50,118.72	Facility		$34.67	$52.48	$50,118.72
United Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $25.12 / $34.67	Facility		$16.60	$25.12	$34.67
United Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $16.60 / $42.66	Professional		$11.75	$16.60	$42.66
Univera Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $28.18 / $67.61	Facility		$23.99	$28.18	$67.61
Univera Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $29.51 / $89.13	Professional		$23.99	$29.51	$89.13