Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.35 / $37.72 / $84.69	Facility		$15.35	$37.72	$84.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.24 / $15.54 / $25.32	Professional		$13.24	$15.54	$25.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.80 / $4.80 / $4.80	Professional		$4.80	$4.80	$4.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.42 / $17.82 / $46.36	Facility		$15.42	$17.82	$46.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.80 / $10.87 / $41.44	Professional		$8.80	$10.87	$41.44
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $10.86 / $17.82 / $25.93	Facility		$10.86	$17.82	$25.93
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $13.21 / $17.82 / $25.93	Professional		$13.21	$17.82	$25.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.46 / $36.03 / $182.74	Facility		$12.46	$36.03	$182.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.71 / $26.41 / $106.51	Professional		$13.71	$26.41	$106.51
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $7.50 / $23.18 / $332.00	Facility		$7.50	$23.18	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $8.15 / $10.70 / $32.63	Professional		$8.15	$10.70	$32.63
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.36 / $11.36 / $11.36	Facility		$11.36	$11.36	$11.36
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.36 / $15.16 / $20.02	Professional		$11.36	$15.16	$20.02
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $8.52 / $8.52 / $8.52	Professional		$8.52	$8.52	$8.52
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.75 / $29.31 / $77.42	Facility		$13.75	$29.31	$77.42
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.88 / $11.88 / $11.88	Professional		$11.88	$11.88	$11.88
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $17.39 / $43.41 / $239.59	Facility		$17.39	$43.41	$239.59
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $14.31 / $23.53 / $44.10	Professional		$14.31	$23.53	$44.10
United Facility/Professional Professional Modifier Low / Median / High Price $7.49 / $10.70 / $31.54	Professional		$7.49	$10.70	$31.54
Univera Facility/Professional Facility Modifier Low / Median / High Price $20.50 / $20.50 / $53.50	Facility		$20.50	$20.50	$53.50
Univera Facility/Professional Professional Modifier Low / Median / High Price $13.13 / $17.14 / $21.43	Professional		$13.13	$17.14	$21.43