Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $33.88 / $154.88	Facility		$13.49	$33.88	$154.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.02 / $46.77	Professional		$10.00	$12.02	$46.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.72 / $11.48 / $13.49	Professional		$3.72	$11.48	$13.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $13.49 / $35.48	Facility		$13.49	$13.49	$35.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $6.92 / $32.36	Professional		$6.76	$6.92	$32.36
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $13.49 / $13.49	Facility		$8.13	$13.49	$13.49
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $13.49 / $13.49	Professional		$10.00	$13.49	$13.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $28.84 / $147.91	Facility		$10.47	$28.84	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $16.22 / $91.20	Professional		$10.23	$16.22	$91.20
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $16.22 / $37.15	Facility		$8.13	$16.22	$37.15
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $9.55 / $26.30	Professional		$6.46	$9.55	$26.30
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $13.49 / $13.49	Facility		$13.49	$13.49	$13.49
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $13.49 / $18.20	Professional		$12.02	$13.49	$18.20
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $28.84 / $69.18	Facility		$10.72	$28.84	$69.18
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $9.12 / $9.12	Professional		$9.12	$9.12	$9.12
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $25.70 / $50,118.72	Facility		$16.98	$25.70	$50,118.72
United Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $12.30 / $16.22	Facility		$5.75	$12.30	$16.22
United Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $8.13 / $20.89	Professional		$5.75	$8.13	$20.89
Univera Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $13.49 / $33.11	Facility		$11.48	$13.49	$33.11
Univera Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $14.45 / $43.65	Professional		$11.48	$14.45	$43.65