Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.17 / $40.95 / $88.73	Facility		$14.17	$40.95	$88.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.22 / $14.82 / $19.55	Professional		$12.22	$14.82	$19.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.44 / $4.44 / $7.90	Professional		$4.44	$4.44	$7.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.46 / $16.46 / $42.80	Facility		$16.46	$16.46	$42.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.86 / $9.94 / $37.14	Professional		$7.86	$9.94	$37.14
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $9.88 / $16.46 / $16.46	Facility		$9.88	$16.46	$16.46
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $16.46 / $16.46	Professional		$12.02	$16.46	$16.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.51 / $33.22 / $167.73	Facility		$11.51	$33.22	$167.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.15 / $19.00 / $104.67	Professional		$12.15	$19.00	$104.67
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $10.10 / $21.40 / $332.00	Facility		$10.10	$21.40	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.52 / $9.88 / $30.12	Professional		$7.52	$9.88	$30.12
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 / $15.81 / $21.86	Professional		$12.63	$15.81	$21.86
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.52 / $28.54 / $101.83	Facility		$11.52	$28.54	$101.83
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.86 / $10.86 / $10.97	Professional		$10.86	$10.86	$10.97
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $16.05 / $40.02 / $219.91	Facility		$16.05	$40.02	$219.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $13.21 / $23.75 / $33.90	Professional		$13.21	$23.75	$33.90
United Facility/Professional Professional Modifier Low / Median / High Price $5.83 / $9.05 / $24.18	Professional		$5.83	$9.05	$24.18
Univera Facility/Professional Facility Modifier Low / Median / High Price $18.93 / $18.93 / $60.66	Facility		$18.93	$18.93	$60.66
Univera Facility/Professional Professional Modifier Low / Median / High Price $14.52 / $17.80 / $22.25	Professional		$14.52	$17.80	$22.25