Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.36 / $36.51 / $81.06	Facility		$14.36	$36.51	$81.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.84 / $15.04 / $72.70	Professional		$8.84	$15.04	$72.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.50 / $4.50 / $4.50	Professional		$4.50	$4.50	$4.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.67 / $16.67 / $43.34	Facility		$16.67	$16.67	$43.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.95 / $10.08 / $37.61	Professional		$7.95	$10.08	$37.61
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $16.67 / $16.67	Facility		$10.00	$16.67	$16.67
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $12.17 / $16.67 / $16.67	Professional		$12.17	$16.67	$16.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.65 / $33.90 / $170.76	Facility		$11.65	$33.90	$170.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.36 / $16.14 / $106.51	Professional		$12.36	$16.14	$106.51
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $12.10 / $23.34 / $332.00	Facility		$12.10	$23.34	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.62 / $10.00 / $30.51	Professional		$7.62	$10.00	$30.51
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.67 / $16.67 / $16.67	Facility		$16.67	$16.67	$16.67
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.70 / $16.67 / $21.50	Professional		$14.70	$16.67	$21.50
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $6.67 / $6.67 / $6.67	Professional		$6.67	$6.67	$6.67
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.42 / $20.35 / $74.26	Facility		$13.42	$20.35	$74.26
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $16.26 / $40.86 / $223.89	Facility		$16.26	$40.86	$223.89
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $13.38 / $22.93 / $40.00	Professional		$13.38	$22.93	$40.00
United Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $10.00 / $25.26	Professional		$7.00	$10.00	$25.26
Univera Facility/Professional Facility Modifier Low / Median / High Price $19.17 / $19.17 / $61.40	Facility		$19.17	$19.17	$61.40
Univera Facility/Professional Professional Modifier Low / Median / High Price $14.70 / $18.14 / $22.13	Professional		$14.70	$18.14	$22.13