Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.04 / $16.07 / $61.00	Facility		$6.04	$16.07	$61.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.38 / $5.26 / $8.02	Professional		$2.38	$5.26	$8.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.63 / $2.88 / $2.90	Professional		$1.63	$2.88	$2.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.04 / $6.04 / $15.70	Facility		$6.04	$6.04	$15.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.88 / $3.65 / $13.62	Professional		$2.88	$3.65	$13.62
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3.62 / $6.04 / $6.04	Facility		$3.62	$6.04	$6.04
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $4.41 / $6.04 / $6.04	Professional		$4.41	$6.04	$6.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.22 / $12.00 / $62.91	Facility		$4.22	$12.00	$62.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.55 / $6.94 / $13.20	Professional		$4.55	$6.94	$13.20
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $5.00 / $8.65 / $332.00	Facility		$5.00	$8.65	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.76 / $3.62 / $11.05	Professional		$2.76	$3.62	$11.05
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 / $5.77 / $7.26	Professional		$5.08	$5.77	$7.26
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 $4.42 / $12.68 / $41.00	Facility		$4.42	$12.68	$41.00
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.99 / $4.03 / $4.03	Professional		$3.99	$4.03	$4.03
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $7.19 / $14.46 / $82.48	Facility		$7.19	$14.46	$82.48
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $4.84 / $7.02 / $12.44	Professional		$4.84	$7.02	$12.44
United Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $3.62 / $9.06	Professional		$2.54	$3.62	$9.06
Univera Facility/Professional Facility Modifier Low / Median / High Price $6.95 / $6.95 / $22.25	Facility		$6.95	$6.95	$22.25
Univera Facility/Professional Professional Modifier Low / Median / High Price $5.20 / $6.49 / $8.02	Professional		$5.20	$6.49	$8.02