Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $12.02 / $89.13	Facility		$5.13	$12.02	$89.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $4.68 / $19.05	Professional		$3.63	$4.68	$19.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $5.13 / $5.13	Professional		$4.37	$5.13	$5.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $5.13 / $13.49	Facility		$5.13	$5.13	$13.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.57 / $3.02 / $11.75	Professional		$2.57	$3.02	$11.75
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3.09 / $5.13 / $5.13	Facility		$3.09	$5.13	$5.13
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $5.13 / $5.13	Professional		$3.80	$5.13	$5.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $12.30 / $56.23	Facility		$3.98	$12.30	$56.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $6.17 / $36.31	Professional		$3.39	$6.17	$36.31
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $4.47 / $6.76 / $18.20	Facility		$4.47	$6.76	$18.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.45 / $3.63 / $10.00	Professional		$2.45	$3.63	$10.00
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.17 / $4.17 / $4.17	Facility		$4.17	$4.17	$4.17
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $4.90 / $6.17	Professional		$3.63	$4.90	$6.17
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $10.96 / $40.74	Facility		$3.63	$10.96	$40.74
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $3.47 / $3.47	Professional		$3.39	$3.47	$3.47
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $9.33 / $50,118.72	Facility		$4.79	$9.33	$50,118.72
United Facility/Professional Facility Modifier Low / Median / High Price $2.19 / $4.68 / $6.17	Facility		$2.19	$4.68	$6.17
United Facility/Professional Professional Modifier Low / Median / High Price $2.19 / $3.09 / $7.76	Professional		$2.19	$3.09	$7.76
Univera Facility/Professional Facility Modifier Low / Median / High Price $4.17 / $4.37 / $9.33	Facility		$4.17	$4.37	$9.33
Univera Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $5.01 / $11.48	Professional		$4.17	$5.01	$11.48