Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.92 / $45.57 / $97.40	Facility		$17.92	$45.57	$97.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.45 / $18.77 / $27.39	Professional		$15.45	$18.77	$27.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $9.36 / $9.99	Professional		$5.62	$9.36	$9.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.81 / $20.81 / $54.11	Facility		$20.81	$20.81	$54.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.93 / $12.59 / $46.98	Professional		$9.93	$12.59	$46.98
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $12.49 / $20.81 / $20.81	Facility		$12.49	$20.81	$20.81
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $15.19 / $20.81 / $20.81	Professional		$15.19	$20.81	$20.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.54 / $43.84 / $212.67	Facility		$14.54	$43.84	$212.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.40 / $23.38 / $100.30	Professional		$15.40	$23.38	$100.30
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $19.00 / $31.22 / $332.00	Facility		$19.00	$31.22	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $9.51 / $12.49 / $38.08	Professional		$9.51	$12.49	$38.08
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.81 / $20.81 / $20.81	Facility		$20.81	$20.81	$20.81
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.34 / $20.81 / $26.84	Professional		$18.34	$20.81	$26.84
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $16.64 / $16.64 / $16.64	Professional		$16.64	$16.64	$16.64
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.59 / $36.63 / $96.74	Facility		$15.59	$36.63	$96.74
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.73 / $13.87 / $13.87	Professional		$13.73	$13.87	$13.87
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $19.91 / $51.07 / $254.50	Facility		$19.91	$51.07	$254.50
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $27.32 / $42.87	Professional		$16.60	$27.32	$42.87
United Facility/Professional Professional Modifier Low / Median / High Price $8.74 / $12.49 / $31.54	Professional		$8.74	$12.49	$31.54
Univera Facility/Professional Facility Modifier Low / Median / High Price $23.93 / $23.93 / $76.65	Facility		$23.93	$23.93	$76.65
Univera Facility/Professional Professional Modifier Low / Median / High Price $18.34 / $23.37 / $27.62	Professional		$18.34	$23.37	$27.62