Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $19.66 / $68.81	Facility		$0.02	$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 $6.34 / $10.14 / $20.94	Professional		$6.34	$10.14	$20.94
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $9.53 / $15.90 / $15.90	Facility		$9.53	$15.90	$15.90
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $15.90 / $15.90	Professional		$9.02	$15.90	$15.90
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 / $37.17 / $115.39	Professional		$14.53	$37.17	$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 $11.85 / $11.85 / $11.85	Facility		$11.85	$11.85	$11.85
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 / $14.80 / $38.46	Professional		$9.67	$14.80	$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