Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.48 / $48.77 / $90.04	Facility		$21.48	$48.77	$90.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.76 / $22.47 / $22.91	Professional		$18.76	$22.47	$22.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.82 / $6.82 / $11.37	Professional		$6.82	$6.82	$11.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.27 / $25.27 / $65.70	Facility		$25.27	$25.27	$65.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.18 / $15.16 / $57.03	Professional		$11.18	$15.16	$57.03
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $15.16 / $25.27 / $25.27	Facility		$15.16	$25.27	$25.27
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $18.45 / $25.27 / $25.27	Professional		$18.45	$25.27	$25.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.66 / $50.89 / $260.57	Facility		$17.66	$50.89	$260.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.87 / $28.49 / $161.60	Professional		$18.87	$28.49	$161.60
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $18.60 / $35.38 / $332.00	Facility		$18.60	$35.38	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $11.55 / $15.16 / $46.24	Professional		$11.55	$15.16	$46.24
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.06 / $24.06 / $24.06	Facility		$24.06	$24.06	$24.06
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.27 / $24.27 / $30.73	Professional		$22.27	$24.27	$30.73
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $12.03 / $12.03 / $12.03	Professional		$12.03	$12.03	$12.03
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.00 / $28.08 / $112.57	Facility		$17.00	$28.08	$112.57
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $23.17 / $61.31 / $301.77	Facility		$23.17	$61.31	$301.77
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $20.16 / $34.74 / $52.06	Professional		$20.16	$34.74	$52.06
United Facility/Professional Professional Modifier Low / Median / High Price $10.61 / $15.16 / $37.90	Professional		$10.61	$15.16	$37.90
Univera Facility/Professional Facility Modifier Low / Median / High Price $29.06 / $29.06 / $93.10	Facility		$29.06	$29.06	$93.10
Univera Facility/Professional Professional Modifier Low / Median / High Price $22.27 / $27.91 / $33.54	Professional		$22.27	$27.91	$33.54