Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.28 / $29.40 / $74.93	Facility		$14.28	$29.40	$74.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.48 / $15.01 / $16.80	Professional		$12.48	$15.01	$16.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.06 / $8.06 / $8.06	Professional		$8.06	$8.06	$8.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.80 / $16.80 / $43.68	Facility		$16.80	$16.80	$43.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.64 / $10.16 / $37.93	Professional		$7.64	$10.16	$37.93
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $10.08 / $16.80 / $16.80	Facility		$10.08	$16.80	$16.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $12.26 / $16.80 / $16.80	Professional		$12.26	$16.80	$16.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.74 / $33.90 / $173.72	Facility		$11.74	$33.90	$173.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.58 / $18.98 / $106.51	Professional		$12.58	$18.98	$106.51
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $13.60 / $23.53 / $332.00	Facility		$13.60	$23.53	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.68 / $10.08 / $30.74	Professional		$7.68	$10.08	$30.74
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.80 / $16.80 / $16.80	Facility		$16.80	$16.80	$16.80
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.81 / $16.80 / $21.67	Professional		$14.81	$16.80	$21.67
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $8.40 / $8.40 / $8.40	Professional		$8.40	$8.40	$8.40
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.16 / $20.49 / $123.07	Facility		$14.16	$20.49	$123.07
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $16.38 / $40.86 / $227.76	Facility		$16.38	$40.86	$227.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $13.44 / $23.10 / $34.61	Professional		$13.44	$23.10	$34.61
United Facility/Professional Professional Modifier Low / Median / High Price $7.06 / $10.08 / $25.20	Professional		$7.06	$10.08	$25.20
Univera Facility/Professional Facility Modifier Low / Median / High Price $19.32 / $19.32 / $61.87	Facility		$19.32	$19.32	$61.87
Univera Facility/Professional Professional Modifier Low / Median / High Price $14.81 / $18.79 / $22.30	Professional		$14.81	$18.79	$22.30