Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.09 / $57.89 / $133.50	Facility		$23.09	$57.89	$133.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.17 / $24.27 / $31.73	Professional		$20.17	$24.27	$31.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.23 / $12.23 / $12.23	Professional		$12.23	$12.23	$12.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.17 / $27.17 / $70.64	Facility		$27.17	$27.17	$70.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.31 / $16.43 / $61.31	Professional		$12.31	$16.43	$61.31
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $16.30 / $27.17 / $27.17	Facility		$16.30	$27.17	$27.17
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $19.82 / $27.17 / $27.17	Professional		$19.82	$27.17	$27.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.98 / $55.12 / $278.54	Facility		$18.98	$55.12	$278.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.17 / $30.68 / $174.45	Professional		$20.17	$30.68	$174.45
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $19.10 / $38.04 / $332.00	Facility		$19.10	$38.04	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $12.42 / $16.30 / $49.72	Professional		$12.42	$16.30	$49.72
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.17 / $27.17 / $27.17	Facility		$27.17	$27.17	$27.17
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.94 / $27.17 / $35.04	Professional		$23.94	$27.17	$35.04
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $13.59 / $13.59 / $21.74	Professional		$13.59	$13.59	$21.74
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.96 / $37.04 / $121.03	Facility		$18.96	$37.04	$121.03
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $24.90 / $66.41 / $324.32	Facility		$24.90	$66.41	$324.32
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $21.74 / $30.68 / $55.97	Professional		$21.74	$30.68	$55.97
United Facility/Professional Professional Modifier Low / Median / High Price $11.41 / $16.30 / $40.76	Professional		$11.41	$16.30	$40.76
Univera Facility/Professional Facility Modifier Low / Median / High Price $31.24 / $31.24 / $100.03	Facility		$31.24	$31.24	$100.03
Univera Facility/Professional Professional Modifier Low / Median / High Price $23.94 / $29.39 / $36.04	Professional		$23.94	$29.39	$36.04