Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.06 / $53.56 / $294.76	Facility		$23.06	$53.56	$294.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.88 / $24.15 / $95.89	Professional		$19.88	$24.15	$95.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.85 / $12.85 / $12.85	Professional		$12.85	$12.85	$12.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.78 / $26.78 / $69.63	Facility		$26.78	$26.78	$69.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.22 / $16.20 / $63.65	Professional		$13.22	$16.20	$63.65
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $16.07 / $26.78 / $26.78	Facility		$16.07	$26.78	$26.78
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $19.55 / $26.78 / $26.78	Professional		$19.55	$26.78	$26.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.71 / $56.58 / $275.58	Facility		$18.71	$56.58	$275.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $29.95 / $129.08	Professional		$19.95	$29.95	$129.08
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $21.00 / $37.49 / $332.00	Facility		$21.00	$37.49	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $10.71 / $16.07 / $49.01	Professional		$10.71	$16.07	$49.01
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.76 / $26.78 / $34.51	Professional		$22.76	$26.78	$34.51
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.60 / $54.00 / $119.29	Facility		$41.60	$54.00	$119.29
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $65.56 / $319.72	Facility		$24.55	$65.56	$319.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $21.35 / $36.79 / $58.61	Professional		$21.35	$36.79	$58.61
United Facility/Professional Professional Modifier Low / Median / High Price $11.25 / $16.07 / $41.51	Professional		$11.25	$16.07	$41.51
Univera Facility/Professional Facility Modifier Low / Median / High Price $30.80 / $30.80 / $64.80	Facility		$30.80	$30.80	$64.80
Univera Facility/Professional Professional Modifier Low / Median / High Price $23.59 / $29.93 / $35.54	Professional		$23.59	$29.93	$35.54