Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.51 / $40.11 / $78.20	Facility		$14.51	$40.11	$78.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.40 / $14.93 / $29.06	Professional		$12.40	$14.93	$29.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.51 / $4.51 / $4.51	Professional		$4.51	$4.51	$4.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.71 / $16.71 / $43.45	Facility		$16.71	$16.71	$43.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.97 / $10.10 / $37.71	Professional		$7.97	$10.10	$37.71
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $10.02 / $16.71 / $16.71	Facility		$10.02	$16.71	$16.71
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $12.20 / $16.71 / $16.71	Professional		$12.20	$16.71	$16.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.68 / $33.90 / $170.76	Facility		$11.68	$33.90	$170.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.36 / $18.63 / $106.51	Professional		$12.36	$18.63	$106.51
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $12.10 / $23.39 / $332.00	Facility		$12.10	$23.39	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.64 / $10.02 / $30.58	Professional		$7.64	$10.02	$30.58
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.71 / $16.71 / $16.71	Facility		$16.71	$16.71	$16.71
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $16.71 / $21.56	Professional		$14.73	$16.71	$21.56
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $12.53 / $12.53 / $12.53	Professional		$12.53	$12.53	$12.53
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.62 / $36.85 / $75.17	Facility		$13.62	$36.85	$75.17
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $16.29 / $40.86 / $223.89	Facility		$16.29	$40.86	$223.89
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $13.41 / $22.97 / $42.00	Professional		$13.41	$22.97	$42.00
United Facility/Professional Professional Modifier Low / Median / High Price $7.02 / $10.02 / $25.07	Professional		$7.02	$10.02	$25.07
Univera Facility/Professional Facility Modifier Low / Median / High Price $19.22 / $19.22 / $78.09	Facility		$19.22	$19.22	$78.09
Univera Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $18.77 / $22.18	Professional		$14.73	$18.77	$22.18