Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $38.90 / $6,309.57	Facility		$25.70	$38.90	$6,309.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.70 / $100.00	Professional		$25.12	$25.70	$100.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $25.70	Professional		$25.70	$25.70	$25.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $26.92	Facility		$25.70	$25.70	$26.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $25.70	Professional		$25.70	$25.70	$25.70
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $53.70	Facility		$50.12	$50.12	$53.70
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Professional		$50.12	$50.12	$50.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $20.42 / $63.10	Facility		$20.42	$20.42	$63.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $25.70	Professional		$25.70	$25.70	$25.70
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $31.62 / $81.28	Facility		$23.44	$31.62	$81.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $23.44 / $42.66	Professional		$21.88	$23.44	$42.66
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $28.84	Facility		$25.70	$25.70	$28.84
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $28.84 / $28.84	Professional		$25.70	$28.84	$28.84
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $66.07 / $74.13	Facility		$33.88	$66.07	$74.13
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $50,118.72 / $75,857.76	Facility		$30.90	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $25.70	Professional		$25.70	$25.70	$25.70
United Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $25.70	Facility		$25.70	$25.70	$25.70
United Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $26.92 / $33.88	Professional		$24.55	$26.92	$33.88
Univera Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $30.90	Facility		$25.70	$25.70	$30.90
Univera Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $28.84 / $28.84	Professional		$25.70	$28.84	$28.84