Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.64 / $48.09 / $161.54	Facility		$18.64	$48.09	$161.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.76 / $17.53 / $18.67	Professional		$12.76	$17.53	$18.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.42 / $9.42 / $9.42	Professional		$9.42	$9.42	$9.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.63 / $19.63 / $51.04	Facility		$19.63	$19.63	$51.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.36 / $11.87 / $39.76	Professional		$9.36	$11.87	$39.76
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $11.78 / $19.63 / $19.63	Facility		$11.78	$19.63	$19.63
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $14.33 / $19.63 / $19.63	Professional		$14.33	$19.63	$19.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.72 / $39.57 / $200.70	Facility		$13.72	$39.57	$200.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.09 / $21.92 / $94.62	Professional		$15.09	$21.92	$94.62
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $7.00 / $25.52 / $332.00	Facility		$7.00	$25.52	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $8.97 / $11.68 / $35.92	Professional		$8.97	$11.68	$35.92
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.39 / $11.39 / $11.39	Facility		$11.39	$11.39	$11.39
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.39 / $18.64 / $25.38	Professional		$11.39	$18.64	$25.38
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $4.55 / $4.55 / $9.11	Professional		$4.55	$4.55	$9.11
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.80 / $40.00 / $252.06	Facility		$15.80	$40.00	$252.06
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.95 / $13.08 / $13.08	Professional		$12.95	$13.08	$13.08
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $19.14 / $47.68 / $254.50	Facility		$19.14	$47.68	$254.50
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $15.76 / $23.17 / $59.68	Professional		$15.76	$23.17	$59.68
United Facility/Professional Professional Modifier Low / Median / High Price $8.24 / $11.78 / $28.83	Professional		$8.24	$11.78	$28.83
Univera Facility/Professional Facility Modifier Low / Median / High Price $22.57 / $22.57 / $46.60	Facility		$22.57	$22.57	$46.60
Univera Facility/Professional Professional Modifier Low / Median / High Price $15.73 / $20.58 / $25.56	Professional		$15.73	$20.58	$25.56