Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.74 / $23.03 / $93.73	Facility		$8.74	$23.03	$93.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.47 / $7.63 / $8.74	Professional		$6.47	$7.63	$8.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.16 / $4.16 / $4.20	Professional		$4.16	$4.16	$4.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.74 / $8.74 / $22.72	Facility		$8.74	$8.74	$22.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $5.28 / $19.80	Professional		$4.17	$5.28	$19.80
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $5.24 / $8.74 / $8.74	Facility		$5.24	$8.74	$8.74
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $6.38 / $8.74 / $8.74	Professional		$6.38	$8.74	$8.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.11 / $17.67 / $89.89	Facility		$6.11	$17.67	$89.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.51 / $9.86 / $19.01	Professional		$6.51	$9.86	$19.01
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $7.00 / $12.24 / $332.00	Facility		$7.00	$12.24	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3.99 / $5.20 / $15.99	Professional		$3.99	$5.20	$15.99
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.08 / $5.08 / $5.08	Facility		$5.08	$5.08	$5.08
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.08 / $8.30 / $11.60	Professional		$5.08	$8.30	$11.60
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $3.05 / $3.05 / $4.05	Professional		$3.05	$3.05	$4.05
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.33 / $16.61 / $41.00	Facility		$6.33	$16.61	$41.00
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.83 / $5.83 / $5.83	Professional		$5.83	$5.83	$5.83
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $10.58 / $21.29 / $117.86	Facility		$10.58	$21.29	$117.86
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $7.01 / $9.91 / $18.00	Professional		$7.01	$9.91	$18.00
United Facility/Professional Professional Modifier Low / Median / High Price $3.67 / $5.24 / $13.25	Professional		$3.67	$5.24	$13.25
Univera Facility/Professional Facility Modifier Low / Median / High Price $10.05 / $10.05 / $32.18	Facility		$10.05	$10.05	$32.18
Univera Facility/Professional Professional Modifier Low / Median / High Price $7.14 / $9.44 / $12.17	Professional		$7.14	$9.44	$12.17