Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.03 / $54.21 / $111.01	Facility		$20.03	$54.21	$111.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.31 / $17.93 / $35.43	Professional		$15.31	$17.93	$35.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.36 / $6.36 / $6.36	Professional		$6.36	$6.36	$6.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.57 / $23.57 / $61.28	Facility		$23.57	$23.57	$61.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.44 / $12.51 / $45.53	Professional		$9.44	$12.51	$45.53
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $14.14 / $23.57 / $23.57	Facility		$14.14	$23.57	$23.57
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $17.21 / $23.57 / $23.57	Professional		$17.21	$23.57	$23.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.47 / $48.05 / $203.65	Facility		$16.47	$48.05	$203.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.75 / $23.74 / $115.68	Professional		$14.75	$23.74	$115.68
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $11.60 / $30.64 / $332.00	Facility		$11.60	$30.64	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $10.77 / $14.03 / $43.13	Professional		$10.77	$14.03	$43.13
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.63 / $12.63 / $12.63	Facility		$12.63	$12.63	$12.63
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.63 / $20.03 / $26.47	Professional		$12.63	$20.03	$26.47
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $9.47 / $9.47 / $9.47	Professional		$9.47	$9.47	$9.47
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.92 / $46.87 / $180.89	Facility		$18.92	$46.87	$180.89
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $21.60 / $57.89 / $254.50	Facility		$21.60	$57.89	$254.50
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $15.81 / $27.26 / $43.30	Professional		$15.81	$27.26	$43.30
United Facility/Professional Professional Modifier Low / Median / High Price $9.90 / $13.52 / $34.61	Professional		$9.90	$13.52	$34.61
Univera Facility/Professional Facility Modifier Low / Median / High Price $27.10 / $27.10 / $71.62	Facility		$27.10	$27.10	$71.62
Univera Facility/Professional Professional Modifier Low / Median / High Price $16.14 / $23.34 / $28.33	Professional		$16.14	$23.34	$28.33