Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.87 / $21.58 / $37.70	Facility		$12.87	$21.58	$37.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.05 / $25.80 / $43.54	Professional		$16.05	$25.80	$43.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.25 / $36.25 / $36.25	Professional		$36.25	$36.25	$36.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.15 / $36.72 / $67.98	Professional		$25.15	$36.72	$67.98
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $28.98 / $28.98 / $28.98	Facility		$28.98	$28.98	$28.98
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $28.98 / $28.98 / $54.28	Professional		$28.98	$28.98	$54.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.71 / $26.71 / $26.71	Facility		$26.71	$26.71	$26.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.52 / $34.52 / $34.52	Professional		$34.52	$34.52	$34.52
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $30.87 / $40.94 / $332.00	Facility		$30.87	$40.94	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $42.60 / $53.09 / $78.58	Professional		$42.60	$53.09	$78.58
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.62 / $36.21 / $43.09	Facility		$19.62	$36.21	$43.09
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.94 / $42.37 / $78.84	Professional		$31.94	$42.37	$78.84
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.07 / $78.26 / $92.06	Professional		$51.07	$78.26	$92.06
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $26.71 / $26.71 / $26.71	Facility		$26.71	$26.71	$26.71
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $34.52 / $40.63 / $87.58	Professional		$34.52	$40.63	$87.58
United Facility/Professional Professional Modifier Low / Median / High Price $28.22 / $41.83 / $87.04	Professional		$28.22	$41.83	$87.04
Univera Facility/Professional Facility Modifier Low / Median / High Price $21.61 / $21.61 / $43.09	Facility		$21.61	$21.61	$43.09
Univera Facility/Professional Professional Modifier Low / Median / High Price $27.15 / $42.37 / $72.34	Professional		$27.15	$42.37	$72.34