Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.57 / $47.67 / $119.82	Facility		$18.57	$47.67	$119.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.01 / $16.59 / $32.00	Professional		$13.01	$16.59	$32.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.01 / $8.92	Professional		$5.01	$5.01	$8.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.57 / $18.57 / $48.31	Facility		$18.57	$18.57	$48.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.88 / $11.24 / $42.08	Professional		$8.88	$11.24	$42.08
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $11.15 / $18.57 / $18.57	Facility		$11.15	$18.57	$18.57
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $13.56 / $18.57 / $18.57	Professional		$13.56	$18.57	$18.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.99 / $37.46 / $191.68	Facility		$12.99	$37.46	$191.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.29 / $24.64 / $40.65	Professional		$14.29	$24.64	$40.65
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $13.10 / $26.01 / $332.00	Facility		$13.10	$26.01	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $8.49 / $13.01 / $34.74	Professional		$8.49	$13.01	$34.74
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.57 / $18.57 / $18.57	Facility		$18.57	$18.57	$18.57
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.79 / $18.57 / $23.97	Professional		$15.79	$18.57	$23.97
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $13.19 / $13.19 / $14.86	Professional		$13.19	$13.19	$14.86
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.63 / $35.19 / $90.34	Facility		$14.63	$35.19	$90.34
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.26 / $12.38 / $12.38	Professional		$12.26	$12.38	$12.38
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $18.12 / $45.13 / $251.31	Facility		$18.12	$45.13	$251.31
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $14.83 / $21.92 / $38.27	Professional		$14.83	$21.92	$38.27
United Facility/Professional Professional Modifier Low / Median / High Price $7.80 / $11.15 / $29.29	Professional		$7.80	$11.15	$29.29
Univera Facility/Professional Facility Modifier Low / Median / High Price $21.37 / $21.37 / $68.45	Facility		$21.37	$21.37	$68.45
Univera Facility/Professional Professional Modifier Low / Median / High Price $15.17 / $20.10 / $24.67	Professional		$15.17	$20.10	$24.67