Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.31 / $10.47 / $870.96	Facility		$3.31	$10.47	$870.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $4.79 / $18.20	Professional		$2.00	$4.79	$18.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $3.31 / $3.31	Professional		$3.31	$3.31	$3.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.31 / $3.31 / $8.51	Facility		$3.31	$3.31	$8.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.32 / $1.95 / $6.17	Professional		$1.32	$1.95	$6.17
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1.95 / $3.31 / $3.31	Facility		$1.95	$3.31	$3.31
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $3.31 / $3.31	Professional		$2.40	$3.31	$3.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.51 / $8.13 / $23.44	Facility		$2.51	$8.13	$23.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.82 / $3.39 / $15.85	Professional		$1.82	$3.39	$15.85
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1.41 / $3.31 / $9.12	Facility		$1.41	$3.31	$9.12
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1.55 / $2.51 / $6.17	Professional		$1.55	$2.51	$6.17
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.19 / $3.09 / $3.89	Professional		$2.19	$3.09	$3.89
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.31 / $8.32 / $16.22	Facility		$3.31	$8.32	$16.22
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.19 / $2.19 / $2.19	Professional		$2.19	$2.19	$2.19
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $2.95 / $6.17 / $50,118.72	Facility		$2.95	$6.17	$50,118.72
United Facility/Professional Facility Modifier Low / Median / High Price $1.58 / $2.95 / $3.98	Facility		$1.58	$2.95	$3.98
United Facility/Professional Professional Modifier Low / Median / High Price $1.51 / $1.95 / $4.79	Professional		$1.51	$1.95	$4.79
Univera Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $3.80 / $8.71	Facility		$2.00	$3.80	$8.71
Univera Facility/Professional Professional Modifier Low / Median / High Price $2.24 / $3.31 / $21.88	Professional		$2.24	$3.31	$21.88