Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.96 / $36.64 / $97.89	Facility		$15.96	$36.64	$97.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.81 / $17.53 / $23.64	Professional		$12.81	$17.53	$23.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.70 / $19.70 / $51.22	Facility		$19.70	$19.70	$51.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.27 / $11.82 / $44.31	Professional		$9.27	$11.82	$44.31
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $11.82 / $19.70 / $19.70	Facility		$11.82	$19.70	$19.70
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $14.38 / $19.70 / $19.70	Professional		$14.38	$19.70	$19.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.76 / $39.57 / $200.70	Facility		$13.76	$39.57	$200.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.03 / $21.92 / $94.95	Professional		$10.03	$21.92	$94.95
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $8.80 / $25.61 / $332.00	Facility		$8.80	$25.61	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.88 / $11.72 / $36.04	Professional		$7.88	$11.72	$36.04
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $5.25 / $5.25	Facility		$5.25	$5.25	$5.25
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $18.37 / $23.68	Professional		$5.25	$18.37	$23.68
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $2.10 / $2.10 / $4.20	Professional		$2.10	$2.10	$4.20
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.52 / $30.21 / $87.04	Facility		$16.52	$30.21	$87.04
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $19.22 / $47.68 / $254.50	Facility		$19.22	$47.68	$254.50
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $12.82 / $19.70 / $40.58	Professional		$12.82	$19.70	$40.58
United Facility/Professional Professional Modifier Low / Median / High Price $8.27 / $11.82 / $29.86	Professional		$8.27	$11.82	$29.86
Univera Facility/Professional Facility Modifier Low / Median / High Price $22.65 / $22.65 / $70.95	Facility		$22.65	$22.65	$70.95
Univera Facility/Professional Professional Modifier Low / Median / High Price $9.25 / $20.65 / $25.56	Professional		$9.25	$20.65	$25.56