Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.17 / $13.05 / $69.23	Facility		$5.17	$13.05	$69.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.44 / $4.23 / $5.30	Professional		$2.44	$4.23	$5.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.28 / $1.28 / $2.27	Professional		$1.28	$1.28	$2.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.74 / $4.74 / $12.32	Facility		$4.74	$4.74	$12.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.24 / $2.86 / $10.69	Professional		$2.24	$2.86	$10.69
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2.84 / $4.74 / $4.74	Facility		$2.84	$4.74	$4.74
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3.46 / $4.74 / $4.74	Professional		$3.46	$4.74	$4.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.32 / $9.89 / $48.04	Facility		$3.32	$9.89	$48.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $5.48 / $10.56	Professional		$3.47	$5.48	$10.56
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $3.50 / $6.64 / $332.00	Facility		$3.50	$6.64	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.17 / $2.84 / $8.67	Professional		$2.17	$2.84	$8.67
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.74 / $4.74 / $4.74	Facility		$4.74	$4.74	$4.74
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.18 / $4.74 / $6.11	Professional		$4.18	$4.74	$6.11
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $2.84 / $2.84 / $3.79	Professional		$2.84	$2.84	$3.79
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.48 / $11.85 / $30.60	Facility		$3.48	$11.85	$30.60
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.13 / $3.13 / $3.16	Professional		$3.13	$3.13	$3.16
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $5.93 / $11.91 / $62.80	Facility		$5.93	$11.91	$62.80
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $5.62 / $9.76	Professional		$3.80	$5.62	$9.76
United Facility/Professional Facility Modifier Low / Median / High Price $3.08 / $3.25 / $3.58	Facility		$3.08	$3.25	$3.58
United Facility/Professional Professional Modifier Low / Median / High Price $1.99 / $2.84 / $7.47	Professional		$1.99	$2.84	$7.47
Univera Facility/Professional Facility Modifier Low / Median / High Price $5.45 / $5.45 / $17.51	Facility		$5.45	$5.45	$17.51
Univera Facility/Professional Professional Modifier Low / Median / High Price $4.18 / $5.13 / $6.30	Professional		$4.18	$5.13	$6.30