Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.01 / $44.37 / $126.62	Facility		$18.01	$44.37	$126.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.08 / $16.54 / $22.75	Professional		$14.08	$16.54	$22.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.12 / $5.12 / $9.10	Professional		$5.12	$5.12	$9.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.96 / $18.96 / $49.30	Facility		$18.96	$18.96	$49.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.05 / $11.47 / $42.79	Professional		$9.05	$11.47	$42.79
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $11.38 / $18.96 / $18.96	Facility		$11.38	$18.96	$18.96
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $13.84 / $18.96 / $18.96	Professional		$13.84	$18.96	$18.96
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 / $18.32 / $123.03	Professional		$14.10	$18.32	$123.03
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $10.10 / $24.65 / $332.00	Facility		$10.10	$24.65	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $8.66 / $11.38 / $34.70	Professional		$8.66	$11.38	$34.70
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.96 / $18.96 / $18.96	Facility		$18.96	$18.96	$18.96
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.72 / $18.96 / $24.46	Professional		$16.72	$18.96	$24.46
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $11.38 / $11.38 / $11.38	Professional		$11.38	$11.38	$11.38
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.92 / $37.71 / $84.00	Facility		$14.92	$37.71	$84.00
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.50 / $12.63 / $12.63	Professional		$12.50	$12.63	$12.63
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $18.48 / $45.96 / $254.50	Facility		$18.48	$45.96	$254.50
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $15.22 / $24.98 / $39.06	Professional		$15.22	$24.98	$39.06
United Facility/Professional Professional Modifier Low / Median / High Price $7.96 / $11.38 / $33.54	Professional		$7.96	$11.38	$33.54
Univera Facility/Professional Facility Modifier Low / Median / High Price $21.80 / $21.80 / $87.39	Facility		$21.80	$21.80	$87.39
Univera Facility/Professional Professional Modifier Low / Median / High Price $16.72 / $20.51 / $25.18	Professional		$16.72	$20.51	$25.18