Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.21 / $19.66 / $97.30	Facility		$9.21	$19.66	$97.30
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 $6.77 / $10.14 / $21.16	Professional		$6.77	$10.14	$21.16
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $10.19 / $17.00 / $17.00	Facility		$10.19	$17.00	$17.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $17.00 / $17.00	Professional		$9.02	$17.00	$17.00
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 $11.33 / $23.44 / $143.55	Facility		$11.33	$23.44	$143.55
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 $22.66 / $22.66 / $37.21	Professional		$22.66	$22.66	$37.21
United Facility/Professional Professional Modifier Low / Median / High Price $9.67 / $17.23 / $38.46	Professional		$9.67	$17.23	$38.46
Univera Facility/Professional Facility Modifier Low / Median / High Price $26.16 / $26.16 / $41.04	Facility		$26.16	$26.16	$41.04
Univera Facility/Professional Professional Modifier Low / Median / High Price $20.19 / $23.35 / $27.34	Professional		$20.19	$23.35	$27.34