Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.94 / $41.81 / $117.93	Facility		$9.94	$41.81	$117.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.83 / $8.42 / $25.26	Professional		$7.83	$8.42	$25.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.50 / $2.50 / $4.46	Professional		$2.50	$2.50	$4.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.30 / $9.30 / $24.18	Facility		$9.30	$9.30	$24.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.44 / $5.62 / $20.99	Professional		$4.44	$5.62	$20.99
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $5.58 / $9.30 / $9.30	Facility		$5.58	$9.30	$9.30
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $6.79 / $9.30 / $9.30	Professional		$6.79	$9.30	$9.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.50 / $19.07 / $95.88	Facility		$6.50	$19.07	$95.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.94 / $10.59 / $58.75	Professional		$6.94	$10.59	$58.75
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $5.00 / $12.31 / $332.00	Facility		$5.00	$12.31	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4.25 / $5.58 / $17.02	Professional		$4.25	$5.58	$17.02
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.30 / $9.30 / $9.30	Facility		$9.30	$9.30	$9.30
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.19 / $9.30 / $12.25	Professional		$8.19	$9.30	$12.25
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $7.44 / $7.44 / $7.44	Professional		$7.44	$7.44	$7.44
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.41 / $16.76 / $52.86	Facility		$6.41	$16.76	$52.86
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.20 / $6.20 / $6.20	Professional		$6.20	$6.20	$6.20
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $11.43 / $22.98 / $125.71	Facility		$11.43	$22.98	$125.71
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $4.41 / $10.59 / $19.16	Professional		$4.41	$10.59	$19.16
United Facility/Professional Professional Modifier Low / Median / High Price $3.91 / $5.58 / $15.65	Professional		$3.91	$5.58	$15.65
Univera Facility/Professional Facility Modifier Low / Median / High Price $10.69 / $10.69 / $34.26	Facility		$10.69	$10.69	$34.26
Univera Facility/Professional Professional Modifier Low / Median / High Price $8.19 / $10.44 / $12.34	Professional		$8.19	$10.44	$12.34