Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.14 / $51.13 / $112.57	Facility		$19.14	$51.13	$112.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.56 / $19.32 / $25.96	Professional		$15.56	$19.32	$25.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $6.00 / $10.67	Professional		$6.00	$6.00	$10.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.23 / $22.23 / $57.80	Facility		$22.23	$22.23	$57.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.52 / $13.44 / $50.18	Professional		$10.52	$13.44	$50.18
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $13.34 / $22.23 / $22.23	Facility		$13.34	$22.23	$22.23
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $16.23 / $22.23 / $22.23	Professional		$16.23	$22.23	$22.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.54 / $45.22 / $227.60	Facility		$15.54	$45.22	$227.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.48 / $24.84 / $143.22	Professional		$16.48	$24.84	$143.22
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $11.60 / $28.90 / $332.00	Facility		$11.60	$28.90	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $10.16 / $13.34 / $40.68	Professional		$10.16	$13.34	$40.68
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.23 / $22.23 / $22.23	Facility		$22.23	$22.23	$22.23
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.60 / $22.23 / $29.52	Professional		$19.60	$22.23	$29.52
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $17.78	Professional		$17.78	$17.78	$17.78
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.67 / $41.49 / $110.70	Facility		$17.67	$41.49	$110.70
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.67 / $14.67 / $14.82	Professional		$14.67	$14.67	$14.82
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $20.37 / $54.48 / $265.43	Facility		$20.37	$54.48	$265.43
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $17.84 / $32.01 / $45.79	Professional		$17.84	$32.01	$45.79
United Facility/Professional Professional Modifier Low / Median / High Price $9.34 / $12.76 / $34.46	Professional		$9.34	$12.76	$34.46
Univera Facility/Professional Facility Modifier Low / Median / High Price $25.56 / $25.56 / $81.91	Facility		$25.56	$25.56	$81.91
Univera Facility/Professional Professional Modifier Low / Median / High Price $19.60 / $24.97 / $36.86	Professional		$19.60	$24.97	$36.86