Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.76 / $41.25 / $95.41	Facility		$16.76	$41.25	$95.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.58 / $14.93 / $20.07	Professional		$12.58	$14.93	$20.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.53 / $4.53 / $8.05	Professional		$4.53	$4.53	$8.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.77 / $16.77 / $43.60	Facility		$16.77	$16.77	$43.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $10.14 / $37.86	Professional		$8.00	$10.14	$37.86
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $10.06 / $16.77 / $16.77	Facility		$10.06	$16.77	$16.77
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $12.24 / $16.77 / $16.77	Professional		$12.24	$16.77	$16.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.72 / $33.90 / $173.72	Facility		$11.72	$33.90	$173.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.58 / $18.98 / $106.51	Professional		$12.58	$18.98	$106.51
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $8.60 / $21.80 / $332.00	Facility		$8.60	$21.80	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.71 / $9.98 / $30.69	Professional		$6.71	$9.98	$30.69
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.57 / $6.57 / $6.57	Facility		$6.57	$6.57	$6.57
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.57 / $15.81 / $20.16	Professional		$6.57	$15.81	$20.16
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $5.26 / $5.26 / $5.26	Professional		$5.26	$5.26	$5.26
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.44 / $28.61 / $74.70	Facility		$11.44	$28.61	$74.70
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.06 / $11.06 / $11.06	Professional		$11.06	$11.06	$11.06
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $16.35 / $40.86 / $227.76	Facility		$16.35	$40.86	$227.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $13.44 / $19.57 / $34.54	Professional		$13.44	$19.57	$34.54
United Facility/Professional Facility Modifier Low / Median / High Price $10.90 / $11.52 / $12.66	Facility		$10.90	$11.52	$12.66
United Facility/Professional Professional Modifier Low / Median / High Price $7.04 / $10.06 / $24.63	Professional		$7.04	$10.06	$24.63
Univera Facility/Professional Facility Modifier Low / Median / High Price $19.28 / $19.28 / $61.03	Facility		$19.28	$19.28	$61.03
Univera Facility/Professional Professional Modifier Low / Median / High Price $13.52 / $17.57 / $21.99	Professional		$13.52	$17.57	$21.99