Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.21 / $19.66 / $68.81	Facility		$9.21	$19.66	$68.81
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 $4.90 / $7.90 / $18.39	Professional		$4.90	$7.90	$18.39
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $7.32 / $12.20 / $12.20	Facility		$7.32	$12.20	$12.20
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $12.20 / $12.20	Professional		$6.17	$12.20	$12.20
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 / $24.47 / $115.39	Professional		$14.53	$24.47	$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 $8.09 / $23.44 / $239.38	Facility		$8.09	$23.44	$239.38
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 $20.88 / $20.88 / $30.69	Professional		$20.88	$20.88	$30.69
United Facility/Professional Professional Modifier Low / Median / High Price $9.67 / $16.35 / $40.72	Professional		$9.67	$16.35	$40.72
Univera Facility/Professional Facility Modifier Low / Median / High Price $26.16 / $26.16 / $28.19	Facility		$26.16	$26.16	$28.19
Univera Facility/Professional Professional Modifier Low / Median / High Price $20.19 / $23.35 / $27.34	Professional		$20.19	$23.35	$27.34