Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.26 / $44.12 / $135.88	Facility		$17.26	$44.12	$135.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.23 / $12.57 / $60.10	Professional		$11.23	$12.57	$60.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.66 / $4.66 / $6.67	Professional		$4.66	$4.66	$6.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.27 / $17.27 / $44.90	Facility		$17.27	$17.27	$44.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.19 / $8.80 / $30.92	Professional		$6.19	$8.80	$30.92
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $10.36 / $17.27 / $17.27	Facility		$10.36	$17.27	$17.27
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $12.61 / $17.27 / $17.27	Professional		$12.61	$17.27	$17.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.07 / $34.63 / $139.19	Facility		$12.07	$34.63	$139.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.96 / $17.53 / $84.46	Professional		$9.96	$17.53	$84.46
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $6.50 / $22.45 / $332.00	Facility		$6.50	$22.45	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.91 / $10.36 / $31.60	Professional		$6.91	$10.36	$31.60
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.69 / $15.38 / $19.39	Professional		$11.69	$15.38	$19.39
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.50 / $33.72 / $79.97	Facility		$12.50	$33.72	$79.97
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $15.83 / $41.72 / $188.51	Facility		$15.83	$41.72	$188.51
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $11.21 / $19.82 / $39.33	Professional		$11.21	$19.82	$39.33
United Facility/Professional Facility Modifier Low / Median / High Price $15.54 / $15.54 / $17.27	Facility		$15.54	$15.54	$17.27
United Facility/Professional Professional Modifier Low / Median / High Price $7.25 / $10.36 / $25.04	Professional		$7.25	$10.36	$25.04
Univera Facility/Professional Facility Modifier Low / Median / High Price $19.86 / $19.86 / $47.69	Facility		$19.86	$19.86	$47.69
Univera Facility/Professional Professional Modifier Low / Median / High Price $11.69 / $16.41 / $20.76	Professional		$11.69	$16.41	$20.76