Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.54 / $25.54 / $86.85	Facility		$10.54	$25.54	$86.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.74 / $10.11 / $13.73	Professional		$4.74	$10.11	$13.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.59 / $6.59 / $6.59	Professional		$6.59	$6.59	$6.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.73 / $13.73 / $35.70	Facility		$13.73	$13.73	$35.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.49 / $8.30 / $19.05	Professional		$5.49	$8.30	$19.05
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $8.24 / $13.73 / $13.73	Facility		$8.24	$13.73	$13.73
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $10.02 / $13.73 / $13.73	Professional		$10.02	$13.73	$13.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.60 / $27.56 / $68.70	Facility		$9.60	$27.56	$68.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.50 / $13.04 / $66.18	Professional		$6.50	$13.04	$66.18
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $16.00 / $22.65 / $332.00	Facility		$16.00	$22.65	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.27 / $8.17 / $25.13	Professional		$6.27	$8.17	$25.13
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.32 / $7.32 / $7.32	Facility		$7.32	$7.32	$7.32
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.32 / $10.83 / $24.23	Professional		$7.32	$10.83	$24.23
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.43 / $27.43 / $40.06	Facility		$27.43	$27.43	$40.06
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $13.73 / $33.20 / $149.26	Facility		$13.73	$33.20	$149.26
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $7.50 / $11.03 / $21.28	Professional		$7.50	$11.03	$21.28
United Facility/Professional Professional Modifier Low / Median / High Price $4.86 / $6.18 / $20.60	Professional		$4.86	$6.18	$20.60
Univera Facility/Professional Facility Modifier Low / Median / High Price $15.79 / $15.79 / $16.87	Facility		$15.79	$15.79	$16.87
Univera Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $13.73 / $25.75	Professional		$7.24	$13.73	$25.75