Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.07 / $144.59 / $2,077.48	Facility		$19.07	$144.59	$2,077.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.90 / $21.36 / $67.80	Professional		$11.90	$21.36	$67.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.49 / $17.30 / $21.09	Professional		$10.49	$17.30	$21.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.65 / $12.57 / $42.70	Professional		$9.65	$12.57	$42.70
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $14.22 / $14.22 / $14.22	Facility		$14.22	$14.22	$14.22
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $14.22 / $14.22 / $14.22	Professional		$14.22	$14.22	$14.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.02 / $13.02 / $14,648.00	Facility		$13.02	$13.02	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.24 / $35.46 / $121.19	Professional		$11.24	$35.46	$121.19
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $13.78 / $19.95 / $332.00	Facility		$13.78	$19.95	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $17.14 / $34.70	Professional		$13.49	$17.14	$34.70
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.40 / $17.23 / $23.52	Professional		$9.40	$17.23	$23.52
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $11.66 / $13.26 / $14.87	Professional		$11.66	$13.26	$14.87
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.04 / $125.61 / $230.40	Facility		$40.04	$125.61	$230.40
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.60 / $12.97 / $25.25	Professional		$11.60	$12.97	$25.25
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $13.02 / $13.02 / $74,999.25	Facility		$13.02	$13.02	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $11.52 / $21.43 / $52.07	Professional		$11.52	$21.43	$52.07
United Facility/Professional Facility Modifier Low / Median / High Price $835.00 / $2,786.00 / $4,840.00	Facility		$835.00	$2,786.00	$4,840.00
United Facility/Professional Professional Modifier Low / Median / High Price $8.94 / $13.38 / $33.08	Professional		$8.94	$13.38	$33.08
Univera Facility/Professional Facility Modifier Low / Median / High Price $14.40 / $14.40 / $62.97	Facility		$14.40	$14.40	$62.97
Univera Facility/Professional Professional Modifier Low / Median / High Price $10.60 / $16.64 / $28.35	Professional		$10.60	$16.64	$28.35