Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $14.25 / $74.63	Facility		$5.01	$14.25	$74.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.26 / $4.38 / $5.77	Professional		$3.26	$4.38	$5.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.36 / $1.36 / $2.41	Professional		$1.36	$1.36	$2.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $5.01 / $13.05	Facility		$5.01	$5.01	$13.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.27 / $3.03 / $11.37	Professional		$2.27	$3.03	$11.37
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3.01 / $5.01 / $5.01	Facility		$3.01	$5.01	$5.01
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3.66 / $5.01 / $5.01	Professional		$3.66	$5.01	$5.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.51 / $9.89 / $50.93	Facility		$3.51	$9.89	$50.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.69 / $5.78 / $27.53	Professional		$3.69	$5.78	$27.53
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $3.50 / $7.03 / $332.00	Facility		$3.50	$7.03	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.31 / $5.01 / $9.19	Professional		$2.31	$5.01	$9.19
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $5.01 / $5.01	Facility		$5.01	$5.01	$5.01
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.26 / $5.01 / $6.48	Professional		$4.26	$5.01	$6.48
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $3.01 / $3.01 / $4.01	Professional		$3.01	$3.01	$4.01
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $9.78 / $41.00	Facility		$3.63	$9.78	$41.00
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $3.31 / $3.34	Professional		$3.31	$3.31	$3.34
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $5.97 / $11.91 / $66.78	Facility		$5.97	$11.91	$66.78
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $4.01 / $5.91 / $10.34	Professional		$4.01	$5.91	$10.34
United Facility/Professional Professional Modifier Low / Median / High Price $2.10 / $3.01 / $7.53	Professional		$2.10	$3.01	$7.53
Univera Facility/Professional Facility Modifier Low / Median / High Price $5.77 / $5.77 / $18.51	Facility		$5.77	$5.77	$18.51
Univera Facility/Professional Professional Modifier Low / Median / High Price $4.09 / $5.43 / $6.67	Professional		$4.09	$5.43	$6.67