Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $19.66 / $98.69	Facility		$0.02	$19.66	$98.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.04 / $19.66 / $19.66	Professional		$18.04	$19.66	$19.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.29 / $12.29 / $12.29	Professional		$12.29	$12.29	$12.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.33 / $11.41 / $23.08	Professional		$5.33	$11.41	$23.08
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $8.05 / $13.42 / $13.42	Facility		$8.05	$13.42	$13.42
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $9.42 / $13.42 / $13.42	Professional		$9.42	$13.42	$13.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $51.03 / $84.04	Facility		$50.00	$51.03	$84.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.53 / $29.06 / $115.39	Professional		$14.53	$29.06	$115.39
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $5.05 / $21.53	Professional		$5.05	$5.05	$21.53
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 / $22.72 / $23.84	Professional		$5.05	$22.72	$23.84
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 $8.90 / $8.94 / $74.92	Facility		$8.90	$8.94	$74.92
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $13.73 / $51.03 / $597.00	Facility		$13.73	$51.03	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $16.89 / $16.89 / $46.46	Professional		$16.89	$16.89	$46.46
United Facility/Professional Professional Modifier Low / Median / High Price $9.67 / $16.35 / $38.46	Professional		$9.67	$16.35	$38.46
Univera Facility/Professional Facility Modifier Low / Median / High Price $26.16 / $26.16 / $26.16	Facility		$26.16	$26.16	$26.16
Univera Facility/Professional Professional Modifier Low / Median / High Price $20.19 / $23.35 / $27.34	Professional		$20.19	$23.35	$27.34