Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.17 / $12.69 / $46.30	Facility		$5.17	$12.69	$46.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.34 / $4.62 / $7.13	Professional		$3.34	$4.62	$7.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.40 / $2.49 / $2.49	Professional		$1.40	$2.49	$2.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.18 / $5.18 / $13.47	Facility		$5.18	$5.18	$13.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.49 / $3.13 / $11.68	Professional		$2.49	$3.13	$11.68
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3.11 / $5.18 / $5.18	Facility		$3.11	$5.18	$5.18
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3.78 / $5.18 / $5.18	Professional		$3.78	$5.18	$5.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.62 / $10.78 / $53.89	Facility		$3.62	$10.78	$53.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $7.10 / $11.70	Professional		$3.98	$7.10	$11.70
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $3.50 / $7.18 / $332.00	Facility		$3.50	$7.18	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.37 / $3.11 / $9.48	Professional		$2.37	$3.11	$9.48
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.08 / $5.08 / $5.08	Facility		$5.08	$5.08	$5.08
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.48 / $5.08 / $6.49	Professional		$4.48	$5.08	$6.49
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $2.54 / $4.05	Professional		$2.54	$2.54	$4.05
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.07 / $10.88 / $31.77	Facility		$4.07	$10.88	$31.77
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $12.00 / $12.00	Professional		$12.00	$12.00	$12.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $6.35 / $12.77 / $70.65	Facility		$6.35	$12.77	$70.65
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $4.15 / $7.30 / $11.62	Professional		$4.15	$7.30	$11.62
United Facility/Professional Professional Modifier Low / Median / High Price $2.10 / $3.11 / $7.77	Professional		$2.10	$3.11	$7.77
Univera Facility/Professional Facility Modifier Low / Median / High Price $5.96 / $5.96 / $19.01	Facility		$5.96	$5.96	$19.01
Univera Facility/Professional Professional Modifier Low / Median / High Price $4.48 / $5.61 / $6.86	Professional		$4.48	$5.61	$6.86