Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.28 / $98.21 / $383.30	Facility		$41.28	$98.21	$383.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.65 / $36.79 / $57.67	Professional		$30.65	$36.79	$57.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.80 / $19.80 / $19.80	Professional		$19.80	$19.80	$19.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.28 / $41.28 / $107.33	Facility		$41.28	$41.28	$107.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.69 / $24.97 / $93.15	Professional		$19.69	$24.97	$93.15
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $24.77 / $41.28 / $41.28	Facility		$24.77	$41.28	$41.28
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $30.13 / $41.28 / $41.28	Professional		$30.13	$41.28	$41.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.85 / $83.39 / $425.35	Facility		$28.85	$83.39	$425.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.80 / $39.74 / $266.24	Professional		$30.80	$39.74	$266.24
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $28.60 / $57.79 / $332.00	Facility		$28.60	$57.79	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $18.86 / $24.77 / $75.54	Professional		$18.86	$24.77	$75.54
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.28 / $41.28 / $41.28	Facility		$41.28	$41.28	$41.28
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.38 / $41.28 / $54.79	Professional		$36.38	$41.28	$54.79
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $33.02 / $33.02 / $33.02	Professional		$33.02	$33.02	$33.02
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.35 / $56.48 / $187.54	Facility		$30.35	$56.48	$187.54
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.50 / $27.50 / $27.50	Professional		$27.50	$27.50	$27.50
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $37.83 / $100.47 / $492.93	Facility		$37.83	$100.47	$492.93
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $46.39 / $85.04	Professional		$33.11	$46.39	$85.04
United Facility/Professional Professional Modifier Low / Median / High Price $17.34 / $24.77 / $70.93	Professional		$17.34	$24.77	$70.93
Univera Facility/Professional Facility Modifier Low / Median / High Price $47.47 / $47.47 / $152.05	Facility		$47.47	$47.47	$152.05
Univera Facility/Professional Professional Modifier Low / Median / High Price $36.38 / $46.36 / $55.55	Professional		$36.38	$46.36	$55.55