Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $30.20 / $51.29	Facility		$13.49	$30.20	$51.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $14.45 / $34.67	Professional		$10.96	$14.45	$34.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $4.27 / $7.08	Professional		$4.27	$4.27	$7.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $15.85 / $41.69	Facility		$15.85	$15.85	$41.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $8.13 / $36.31	Professional		$7.94	$8.13	$36.31
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $15.85 / $15.85	Facility		$9.55	$15.85	$15.85
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $15.85 / $15.85	Professional		$11.75	$15.85	$15.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $34.67 / $173.78	Facility		$12.02	$34.67	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $19.05 / $75.86	Professional		$12.59	$19.05	$75.86
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $23.99 / $57.54	Facility		$18.20	$23.99	$57.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $15.49 / $30.20	Professional		$7.41	$15.49	$30.20
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.47 / $3.47 / $3.47	Facility		$3.47	$3.47	$3.47
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $13.49 / $19.05	Professional		$3.47	$13.49	$19.05
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $22.91 / $60.26	Facility		$12.59	$22.91	$60.26
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $30.20 / $50,118.72	Facility		$15.49	$30.20	$50,118.72
United Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $14.45 / $19.05	Facility		$9.55	$14.45	$19.05
United Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $11.22 / $28.18	Professional		$8.71	$11.22	$28.18
Univera Facility/Professional Facility Modifier Low / Median / High Price $3.47 / $6.17 / $30.20	Facility		$3.47	$6.17	$30.20
Univera Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $15.14 / $54.95	Professional		$3.47	$15.14	$54.95