Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.02 / $37.44 / $69.43	Facility		$18.02	$37.44	$69.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.03 / $16.86 / $30.36	Professional		$14.03	$16.86	$30.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.12 / $5.12 / $5.12	Professional		$5.12	$5.12	$5.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.97 / $18.97 / $49.32	Facility		$18.97	$18.97	$49.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.05 / $11.47 / $42.81	Professional		$9.05	$11.47	$42.81
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $11.38 / $18.97 / $18.97	Facility		$11.38	$18.97	$18.97
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $13.85 / $18.97 / $18.97	Professional		$13.85	$18.97	$18.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.25 / $38.15 / $194.71	Facility		$13.25	$38.15	$194.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.10 / $21.19 / $97.33	Professional		$14.10	$21.19	$97.33
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $15.10 / $26.56 / $332.00	Facility		$15.10	$26.56	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $8.67 / $11.38 / $34.72	Professional		$8.67	$11.38	$34.72
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.97 / $18.97 / $18.97	Facility		$18.97	$18.97	$18.97
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.72 / $18.97 / $24.47	Professional		$16.72	$18.97	$24.47
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $14.04 / $14.04 / $14.23	Professional		$14.04	$14.04	$14.23
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.64 / $38.00 / $139.93	Facility		$12.64	$38.00	$139.93
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $18.50 / $45.96 / $254.50	Facility		$18.50	$45.96	$254.50
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $15.22 / $26.08 / $39.08	Professional		$15.22	$26.08	$39.08
United Facility/Professional Professional Modifier Low / Median / High Price $7.97 / $11.38 / $28.75	Professional		$7.97	$11.38	$28.75
Univera Facility/Professional Facility Modifier Low / Median / High Price $21.81 / $21.81 / $69.91	Facility		$21.81	$21.81	$69.91
Univera Facility/Professional Professional Modifier Low / Median / High Price $16.72 / $21.31 / $25.18	Professional		$16.72	$21.31	$25.18