Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.95 / $55.47 / $112.29	Facility		$24.95	$55.47	$112.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.78 / $25.58 / $38.61	Professional		$21.78	$25.58	$38.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.09 / $14.09 / $14.09	Professional		$14.09	$14.09	$14.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.42 / $29.35 / $76.31	Facility		$15.42	$29.35	$76.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.49 / $17.89 / $67.39	Professional		$14.49	$17.89	$67.39
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $17.61 / $25.93 / $29.35	Facility		$17.61	$25.93	$29.35
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $21.43 / $25.93 / $29.35	Professional		$21.43	$25.93	$29.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.50 / $62.01 / $302.49	Facility		$20.50	$62.01	$302.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.57 / $36.22 / $176.27	Professional		$22.57	$36.22	$176.27
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $14.60 / $38.15 / $332.00	Facility		$14.60	$38.15	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $13.41 / $17.61 / $53.71	Professional		$13.41	$17.61	$53.71
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.35 / $29.35 / $29.35	Facility		$29.35	$29.35	$29.35
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.08 / $29.35 / $35.72	Professional		$23.08	$29.35	$35.72
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $20.55 / $20.55 / $20.55	Professional		$20.55	$20.55	$20.55
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.09 / $38.03 / $111.21	Facility		$23.09	$38.03	$111.21
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.37 / $19.55 / $19.55	Professional		$19.37	$19.55	$19.55
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $26.90 / $71.52 / $350.44	Facility		$26.90	$71.52	$350.44
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $22.50 / $33.86 / $60.46	Professional		$22.50	$33.86	$60.46
United Facility/Professional Professional Modifier Low / Median / High Price $12.33 / $17.61 / $43.11	Professional		$12.33	$17.61	$43.11
Univera Facility/Professional Facility Modifier Low / Median / High Price $33.75 / $33.75 / $91.32	Facility		$33.75	$33.75	$91.32
Univera Facility/Professional Professional Modifier Low / Median / High Price $22.40 / $30.77 / $37.86	Professional		$22.40	$30.77	$37.86