Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $87.10 / $954.99	Facility		$10.00	$87.10	$954.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $8.51 / $19.95	Professional		$2.69	$8.51	$19.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $7.76 / $9.12	Professional		$7.24	$7.76	$9.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $9.33 / $24.55	Facility		$9.33	$9.33	$24.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.20 / $2.45 / $8.13	Professional		$1.20	$2.45	$8.13
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $4.27 / $4.27 / $4.27	Facility		$4.27	$4.27	$4.27
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1.51 / $4.27 / $4.27	Professional		$1.51	$4.27	$4.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.24 / $4.07 / $19.95	Facility		$3.24	$4.07	$19.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.70 / $3.72 / $43.65	Professional		$1.70	$3.72	$43.65
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $9.33 / $20.89	Facility		$2.00	$9.33	$20.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.51 / $4.07 / $17.78	Professional		$2.51	$4.07	$17.78
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.51 / $9.12 / $9.55	Professional		$2.51	$9.12	$9.55
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.34 / $9.33 / $28.18	Facility		$2.34	$9.33	$28.18
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.00 / $21.38	Professional		$2.00	$2.00	$21.38
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $16.60 / $50,118.72	Facility		$11.48	$16.60	$50,118.72
United Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $9.33 / $11.75	Facility		$8.32	$9.33	$11.75
United Facility/Professional Professional Modifier Low / Median / High Price $1.26 / $3.02 / $5.62	Professional		$1.26	$3.02	$5.62
Univera Facility/Professional Professional Modifier Low / Median / High Price $2.51 / $7.59 / $11.75	Professional		$2.51	$7.59	$11.75