Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.73 / $50.80 / $133.63	Facility		$14.73	$50.80	$133.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.02 / $9.75 / $20.09	Professional		$8.02	$9.75	$20.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.62 / $3.62 / $6.70	Professional		$3.62	$3.62	$6.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.39 / $13.39 / $34.81	Facility		$13.39	$13.39	$34.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.40 / $9.03 / $30.75	Professional		$6.40	$9.03	$30.75
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $8.02 / $13.39 / $13.39	Facility		$8.02	$13.39	$13.39
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $13.39 / $13.39	Professional		$9.77	$13.39	$13.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.35 / $26.86 / $137.79	Facility		$9.35	$26.86	$137.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.25 / $15.96 / $31.01	Professional		$8.25	$15.96	$31.01
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $9.10 / $18.66 / $332.00	Facility		$9.10	$18.66	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.10 / $7.96 / $24.50	Professional		$6.10	$7.96	$24.50
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.10 / $6.10 / $6.10	Facility		$6.10	$6.10	$6.10
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.10 / $12.72 / $17.78	Professional		$6.10	$12.72	$17.78
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $3.66 / $3.66 / $4.88	Professional		$3.66	$3.66	$4.88
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.64 / $23.86 / $114.26	Facility		$10.64	$23.86	$114.26
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.92 / $8.92 / $8.92	Professional		$8.92	$8.92	$8.92
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $13.73 / $32.36 / $180.66	Facility		$13.73	$32.36	$180.66
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $10.01 / $19.38 / $31.01	Professional		$10.01	$19.38	$31.01
United Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $8.02 / $20.09	Professional		$5.62	$8.02	$20.09
Univera Facility/Professional Facility Modifier Low / Median / High Price $15.40 / $15.40 / $49.36	Facility		$15.40	$15.40	$49.36
Univera Facility/Professional Professional Modifier Low / Median / High Price $10.93 / $14.48 / $22.68	Professional		$10.93	$14.48	$22.68