Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.00 / $33.86 / $78.72	Facility		$15.00	$33.86	$78.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.64 / $15.47 / $17.64	Professional		$8.64	$15.47	$17.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.76 / $4.76 / $4.76	Professional		$4.76	$4.76	$4.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.64 / $17.64 / $45.89	Facility		$17.64	$17.64	$45.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.88 / $9.19 / $31.00	Professional		$5.88	$9.19	$31.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $10.59 / $17.64 / $17.64	Facility		$10.59	$17.64	$17.64
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $17.64 / $17.64	Professional		$12.88	$17.64	$17.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.33 / $36.03 / $125.03	Facility		$12.33	$36.03	$125.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.80 / $19.36 / $110.18	Professional		$12.80	$19.36	$110.18
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $9.10 / $22.95 / $332.00	Facility		$9.10	$22.95	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $8.07 / $10.59 / $32.29	Professional		$8.07	$10.59	$32.29
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 / $16.53 / $21.21	Professional		$12.63	$16.53	$21.21
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $4.69 / $4.69 / $12.36	Professional		$4.69	$4.69	$12.36
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.76 / $30.60 / $76.33	Facility		$11.76	$30.60	$76.33
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $17.21 / $43.41 / $231.74	Facility		$17.21	$43.41	$231.74
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $13.84 / $20.65 / $36.36	Professional		$13.84	$20.65	$36.36
United Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $8.47 / $25.92	Professional		$7.41	$8.47	$25.92
Univera Facility/Professional Facility Modifier Low / Median / High Price $20.30 / $20.30 / $63.80	Facility		$20.30	$20.30	$63.80
Univera Facility/Professional Professional Modifier Low / Median / High Price $15.27 / $18.50 / $22.99	Professional		$15.27	$18.50	$22.99