Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.41 / $33.88 / $354.81	Facility		$7.41	$33.88	$354.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $12.59 / $41.69	Professional		$7.94	$12.59	$41.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.80 / $21.88	Professional		$13.18	$13.80	$21.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $13.49 / $75.86	Professional		$10.00	$13.49	$75.86
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Facility		$60.26	$60.26	$60.26
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $79.43 / $50,118.72	Facility		$19.95	$79.43	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $14.79 / $41.69	Professional		$8.71	$14.79	$41.69
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $26.92 / $54.95	Facility		$14.45	$26.92	$54.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $19.05 / $75.86	Professional		$10.00	$19.05	$75.86
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $16.60	Facility		$12.02	$12.02	$16.60
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $15.49 / $26.30	Professional		$10.23	$15.49	$26.30
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $16.98 / $75.86	Facility		$11.22	$16.98	$75.86
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $20.89 / $21.38	Professional		$10.23	$20.89	$21.38
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $50,118.72 / $53,703.18 / $75,857.76	Facility		$50,118.72	$53,703.18	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $19.05 / $27.54	Professional		$16.60	$19.05	$27.54
United Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $14.79 / $26.92	Professional		$11.22	$14.79	$26.92
Univera Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $13.49 / $87.10	Facility		$10.23	$13.49	$87.10
Univera Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $14.45 / $39.81	Professional		$10.23	$14.45	$39.81