Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.01 / $37.15 / $34,102.47	Facility		$17.01	$37.15	$34,102.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.02 / $17.19 / $9,350.62	Professional		$17.02	$17.19	$9,350.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.02 / $17.02 / $17.02	Professional		$17.02	$17.02	$17.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.62 / $13.62 / $17.02	Facility		$13.62	$13.62	$17.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.59 / $17.02 / $17.53	Professional		$13.59	$17.02	$17.53
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $13.56 / $13.56 / $14.24	Facility		$13.56	$13.56	$14.24
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $13.56 / $13.56 / $13.56	Professional		$13.56	$13.56	$13.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.82 / $16.05 / $85.00	Facility		$13.82	$16.05	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.02 / $17.02 / $18.46	Professional		$17.02	$17.02	$18.46
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $17.02 / $25.53 / $332.00	Facility		$17.02	$25.53	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $17.02 / $17.02 / $20.75	Professional		$17.02	$17.02	$20.75
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.32 / $10.32 / $17.66	Facility		$10.32	$10.32	$17.66
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.02 / $17.66 / $17.66	Professional		$17.02	$17.66	$17.66
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.79 / $16.79 / $18.66	Facility		$16.79	$16.79	$18.66
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $13.82 / $16.05 / $85.00	Facility		$13.82	$16.05	$85.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $17.02 / $17.02 / $20.07	Professional		$17.02	$17.02	$20.07
United Facility/Professional Professional Modifier Low / Median / High Price $17.02 / $18.04 / $22.97	Professional		$17.02	$18.04	$22.97
Univera Facility/Professional Facility Modifier Low / Median / High Price $17.66 / $17.66 / $17.66	Facility		$17.66	$17.66	$17.66
Univera Facility/Professional Professional Modifier Low / Median / High Price $17.02 / $17.66 / $17.66	Professional		$17.02	$17.66	$17.66