Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $45.71 / $97.72	Facility		$28.18	$45.71	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $37.15 / $91.20	Professional		$19.50	$37.15	$91.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $20.42 / $36.31	Professional		$18.20	$20.42	$36.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $20.89 / $46.77	Professional		$16.98	$20.89	$46.77
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Facility		$30.90	$30.90	$30.90
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Professional		$30.90	$30.90	$30.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $125.89 / $275.42	Facility		$33.88	$125.89	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $34.67 / $97.72	Professional		$20.89	$34.67	$97.72
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $34.67 / $100.00	Facility		$21.88	$34.67	$100.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $23.99 / $39.81	Professional		$18.62	$23.99	$39.81
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $19.50 / $19.50	Facility		$19.50	$19.50	$19.50
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $26.30 / $44.67	Professional		$16.60	$26.30	$44.67
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Facility		$28.84	$28.84	$28.84
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Professional		$28.84	$28.84	$28.84
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $50,118.72 / $75,857.76	Facility		$35.48	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $30.90 / $56.23	Professional		$25.70	$30.90	$56.23
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $26.30 / $52.48	Professional		$19.95	$26.30	$52.48
Univera Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $29.51 / $89.13	Facility		$17.38	$29.51	$89.13
Univera Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $26.30 / $67.61	Professional		$17.38	$26.30	$67.61