Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.83 / $33.63 / $246.34	Facility		$11.83	$33.63	$246.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $12.36 / $22.43	Professional		$10.19	$12.36	$22.43
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 $6.55 / $8.30 / $31.00	Professional		$6.55	$8.30	$31.00
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 / $28.45 / $140.75	Facility		$9.60	$28.45	$140.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $15.34 / $88.13	Professional		$10.19	$15.34	$88.13
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $10.60 / $19.22 / $332.00	Facility		$10.60	$19.22	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.27 / $8.24 / $25.13	Professional		$6.27	$8.24	$25.13
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.61 / $10.61 / $10.61	Facility		$10.61	$10.61	$10.61
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.61 / $13.19 / $18.21	Professional		$10.61	$13.19	$18.21
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $9.61 / $9.61 / $9.61	Professional		$9.61	$9.61	$9.61
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.05 / $34.32 / $61.16	Facility		$11.05	$34.32	$61.16
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.14 / $9.14 / $9.14	Professional		$9.14	$9.14	$9.14
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $13.73 / $33.20 / $184.53	Facility		$13.73	$33.20	$184.53
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $10.87 / $17.41 / $28.28	Professional		$10.87	$17.41	$28.28
United Facility/Professional Professional Modifier Low / Median / High Price $5.77 / $8.24 / $25.35	Professional		$5.77	$8.24	$25.35
Univera Facility/Professional Facility Modifier Low / Median / High Price $15.79 / $15.79 / $38.40	Facility		$15.79	$15.79	$38.40
Univera Facility/Professional Professional Modifier Low / Median / High Price $12.10 / $14.39 / $22.01	Professional		$12.10	$14.39	$22.01