Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.18 / $46.20 / $84.62	Facility		$16.18	$46.20	$84.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.50 / $15.24 / $30.70	Professional		$11.50	$15.24	$30.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.70 / $5.70 / $10.11	Professional		$5.70	$5.70	$10.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.09 / $21.09 / $54.83	Facility		$21.09	$21.09	$54.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.44 / $12.75 / $39.22	Professional		$8.44	$12.75	$39.22
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $12.65 / $21.09 / $21.09	Facility		$12.65	$21.09	$21.09
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $15.40 / $21.09 / $21.09	Professional		$15.40	$21.09	$21.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.74 / $42.39 / $166.53	Facility		$14.74	$42.39	$166.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.92 / $20.18 / $101.65	Professional		$11.92	$20.18	$101.65
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $11.10 / $27.42 / $332.00	Facility		$11.10	$27.42	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $9.64 / $12.65 / $38.59	Professional		$9.64	$12.65	$38.59
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.09 / $16.09 / $16.09	Facility		$16.09	$16.09	$16.09
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.30 / $17.48 / $23.48	Professional		$13.30	$17.48	$23.48
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $12.07 / $12.07 / $12.07	Professional		$12.07	$12.07	$12.07
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.51 / $24.80 / $75.72	Facility		$15.51	$24.80	$75.72
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $19.32 / $51.07 / $231.74	Facility		$19.32	$51.07	$231.74
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $11.39 / $20.18 / $33.90	Professional		$11.39	$20.18	$33.90
United Facility/Professional Professional Modifier Low / Median / High Price $7.77 / $11.60 / $30.98	Professional		$7.77	$11.60	$30.98
Univera Facility/Professional Facility Modifier Low / Median / High Price $24.25 / $24.25 / $52.64	Facility		$24.25	$24.25	$52.64
Univera Facility/Professional Professional Modifier Low / Median / High Price $12.91 / $18.97 / $25.35	Professional		$12.91	$18.97	$25.35