Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $113.58 / $113.58	Facility		$0.02	$113.58	$113.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.00 / $162.00 / $162.00	Professional		$103.00	$162.00	$162.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.01 / $8.01 / $8.01	Professional		$8.01	$8.01	$8.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.48 / $9.80 / $20.99	Professional		$6.48	$9.80	$20.99
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $9.82 / $16.36 / $16.36	Facility		$9.82	$16.36	$16.36
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $6.32 / $16.36 / $16.36	Professional		$6.32	$16.36	$16.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.93 / $16.93 / $21.17	Professional		$16.93	$16.93	$21.17
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $5.05 / $5.05	Professional		$5.05	$5.05	$5.05
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.05 / $5.05 / $5.05	Facility		$5.05	$5.05	$5.05
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $5.05 / $6.45	Professional		$5.05	$5.05	$6.45
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $4.24 / $4.24 / $4.24	Professional		$4.24	$4.24	$4.24
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.85 / $12.99 / $30.60	Facility		$10.85	$12.99	$30.60
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $13.73 / $254.50 / $74,999.25	Facility		$13.73	$254.50	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $16.89 / $16.89 / $21.17	Professional		$16.89	$16.89	$21.17
Univera Facility/Professional Professional Modifier Low / Median / High Price $6.45 / $6.45 / $6.45	Professional		$6.45	$6.45	$6.45