Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.48 / $18.09 / $81.47	Facility		$6.48	$18.09	$81.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.80 / $5.66 / $7.75	Professional		$4.80	$5.66	$7.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.75 / $1.75 / $3.11	Professional		$1.75	$1.75	$3.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.48 / $6.48 / $16.85	Facility		$6.48	$6.48	$16.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.10 / $3.92 / $14.62	Professional		$3.10	$3.92	$14.62
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3.89 / $6.48 / $6.48	Facility		$3.89	$6.48	$6.48
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $4.73 / $6.48 / $6.48	Professional		$4.73	$6.48	$6.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.53 / $13.43 / $65.86	Facility		$4.53	$13.43	$65.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.98 / $8.97 / $14.26	Professional		$4.98	$8.97	$14.26
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $5.00 / $9.07 / $332.00	Facility		$5.00	$9.07	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.96 / $3.89 / $11.86	Professional		$2.96	$3.89	$11.86
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.08 / $5.08 / $5.08	Facility		$5.08	$5.08	$5.08
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.08 / $6.22 / $7.79	Professional		$5.08	$6.22	$7.79
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $4.05 / $4.05 / $4.05	Professional		$4.05	$4.05	$4.05
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.42 / $13.86 / $33.29	Facility		$4.42	$13.86	$33.29
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.26 / $4.30 / $4.30	Professional		$4.26	$4.30	$4.30
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $8.03 / $16.18 / $86.35	Facility		$8.03	$16.18	$86.35
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $5.20 / $7.64 / $13.35	Professional		$5.20	$7.64	$13.35
United Facility/Professional Facility Modifier Low / Median / High Price $2.17 / $2.17 / $2.17	Facility		$2.17	$2.17	$2.17
United Facility/Professional Professional Modifier Low / Median / High Price $2.72 / $3.89 / $9.72	Professional		$2.72	$3.89	$9.72
Univera Facility/Professional Facility Modifier Low / Median / High Price $7.45 / $7.45 / $23.89	Facility		$7.45	$7.45	$23.89
Univera Facility/Professional Professional Modifier Low / Median / High Price $5.71 / $6.86 / $8.61	Professional		$5.71	$6.86	$8.61