Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.00 / $34.64 / $67.73	Facility		$14.00	$34.64	$67.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.07 / $14.17 / $26.59	Professional		$12.07	$14.17	$26.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.38 / $4.38 / $4.38	Professional		$4.38	$4.38	$4.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.26 / $16.26 / $42.28	Facility		$16.26	$16.26	$42.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.69 / $9.83 / $36.69	Professional		$7.69	$9.83	$36.69
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $9.76 / $16.26 / $16.26	Facility		$9.76	$16.26	$16.26
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $11.87 / $16.26 / $16.26	Professional		$11.87	$16.26	$16.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.36 / $33.22 / $167.73	Facility		$11.36	$33.22	$167.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.15 / $18.26 / $102.83	Professional		$12.15	$18.26	$102.83
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $10.60 / $21.73 / $332.00	Facility		$10.60	$21.73	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.43 / $9.76 / $29.76	Professional		$7.43	$9.76	$29.76
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.26 / $16.26 / $16.26	Facility		$16.26	$16.26	$16.26
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.33 / $16.26 / $20.98	Professional		$14.33	$16.26	$20.98
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $12.03 / $12.03 / $12.20	Professional		$12.03	$12.03	$12.20
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.84 / $33.00 / $73.83	Facility		$10.84	$33.00	$73.83
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $15.86 / $40.02 / $219.91	Facility		$15.86	$40.02	$219.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $13.05 / $21.75 / $33.50	Professional		$13.05	$21.75	$33.50
United Facility/Professional Professional Modifier Low / Median / High Price $6.83 / $9.76 / $24.39	Professional		$6.83	$9.76	$24.39
Univera Facility/Professional Facility Modifier Low / Median / High Price $18.70 / $18.70 / $59.92	Facility		$18.70	$18.70	$59.92
Univera Facility/Professional Professional Modifier Low / Median / High Price $14.33 / $17.79 / $21.58	Professional		$14.33	$17.79	$21.58