Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.58 / $31.86 / $82.65	Facility		$12.58	$31.86	$82.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.30 / $11.32 / $13.84	Professional		$9.30	$11.32	$13.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.66 / $5.66 / $6.04	Professional		$5.66	$5.66	$6.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.58 / $12.58 / $32.71	Facility		$12.58	$12.58	$32.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.57 / $7.61 / $28.39	Professional		$5.57	$7.61	$28.39
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $7.55 / $12.58 / $12.58	Facility		$7.55	$12.58	$12.58
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $9.18 / $12.58 / $12.58	Professional		$9.18	$12.58	$12.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.78 / $25.43 / $128.77	Facility		$8.78	$25.43	$128.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $14.25 / $80.78	Professional		$9.33	$14.25	$80.78
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $8.60 / $17.61 / $332.00	Facility		$8.60	$17.61	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $7.55 / $23.02	Professional		$5.75	$7.55	$23.02
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.58 / $12.58 / $12.58	Facility		$12.58	$12.58	$12.58
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.09 / $12.58 / $16.23	Professional		$11.09	$12.58	$16.23
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $6.29 / $6.29 / $6.29	Professional		$6.29	$6.29	$6.29
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.25 / $25.70 / $55.71	Facility		$9.25	$25.70	$55.71
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.30 / $8.38 / $8.38	Professional		$8.30	$8.38	$8.38
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $13.73 / $30.64 / $168.83	Facility		$13.73	$30.64	$168.83
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $10.08 / $17.29 / $28.00	Professional		$10.08	$17.29	$28.00
United Facility/Professional Professional Modifier Low / Median / High Price $5.28 / $7.55 / $20.56	Professional		$5.28	$7.55	$20.56
Univera Facility/Professional Facility Modifier Low / Median / High Price $14.47 / $14.47 / $46.37	Facility		$14.47	$14.47	$46.37
Univera Facility/Professional Professional Modifier Low / Median / High Price $11.09 / $14.10 / $16.70	Professional		$11.09	$14.10	$16.70