Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.53 / $46.56 / $99.41	Facility		$16.53	$46.56	$99.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.80 / $13.06 / $21.36	Professional		$9.80	$13.06	$21.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $4.07 / $7.24	Professional		$4.07	$4.07	$7.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.08 / $15.08 / $39.21	Facility		$15.08	$15.08	$39.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.19 / $9.11 / $34.15	Professional		$7.19	$9.11	$34.15
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $9.05 / $15.08 / $15.08	Facility		$9.05	$15.08	$15.08
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $11.01 / $15.08 / $15.08	Professional		$11.01	$15.08	$15.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.54 / $30.39 / $155.75	Facility		$10.54	$30.39	$155.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.28 / $17.35 / $97.33	Professional		$11.28	$17.35	$97.33
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $13.60 / $22.62 / $332.00	Facility		$13.60	$22.62	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.89 / $9.05 / $27.60	Professional		$6.89	$9.05	$27.60
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.63 / $12.63 / $12.63	Facility		$12.63	$12.63	$12.63
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.63 / $14.33 / $18.12	Professional		$12.63	$14.33	$18.12
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $7.58 / $7.58 / $10.10	Professional		$7.58	$7.58	$10.10
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.65 / $25.93 / $67.17	Facility		$10.65	$25.93	$67.17
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.05 / $10.05 / $10.05	Professional		$10.05	$10.05	$10.05
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $14.70 / $36.61 / $204.21	Facility		$14.70	$36.61	$204.21
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $12.10 / $17.35 / $31.06	Professional		$12.10	$17.35	$31.06
United Facility/Professional Professional Modifier Low / Median / High Price $6.33 / $8.28 / $22.62	Professional		$6.33	$8.28	$22.62
Univera Facility/Professional Facility Modifier Low / Median / High Price $17.34 / $17.34 / $54.11	Facility		$17.34	$17.34	$54.11
Univera Facility/Professional Professional Modifier Low / Median / High Price $12.60 / $16.13 / $19.50	Professional		$12.60	$16.13	$19.50