Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.61 / $40.61 / $102.45	Facility		$18.61	$40.61	$102.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.94 / $16.95 / $22.97	Professional		$11.94	$16.95	$22.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.03 / $11.03 / $11.03	Professional		$11.03	$11.03	$11.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.97 / $22.97 / $59.72	Facility		$22.97	$22.97	$59.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.19 / $11.71 / $41.99	Professional		$9.19	$11.71	$41.99
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $13.78 / $22.97 / $22.97	Facility		$13.78	$22.97	$22.97
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $16.77 / $22.97 / $22.97	Professional		$16.77	$22.97	$22.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.17 / $29.72 / $56.24	Facility		$12.17	$29.72	$56.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.86 / $33.04 / $110.72	Professional		$12.86	$33.04	$110.72
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $33.08 / $332.00	Facility		$20.42	$33.08	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $9.19 / $13.67 / $42.95	Professional		$9.19	$13.67	$42.95
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.92 / $13.92 / $13.92	Facility		$13.92	$13.92	$13.92
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.92 / $19.52 / $25.80	Professional		$13.92	$19.52	$25.80
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $6.96 / $6.96 / $11.14	Professional		$6.96	$6.96	$11.14
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.71 / $56.80 / $107.72	Facility		$26.71	$56.80	$107.72
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.15 / $15.30 / $15.30	Professional		$15.15	$15.30	$15.30
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $13.73 / $41.34 / $555.00	Facility		$13.73	$41.34	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $14.93 / $21.95 / $47.32	Professional		$14.93	$21.95	$47.32
United Facility/Professional Professional Modifier Low / Median / High Price $9.65 / $13.78 / $33.74	Professional		$9.65	$13.78	$33.74
Univera Facility/Professional Facility Modifier Low / Median / High Price $26.41 / $26.41 / $32.47	Facility		$26.41	$26.41	$32.47
Univera Facility/Professional Professional Modifier Low / Median / High Price $14.39 / $21.82 / $27.61	Professional		$14.39	$21.82	$27.61