Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.57 / $36.17 / $65.45	Facility		$17.57	$36.17	$65.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.35 / $18.01 / $18.75	Professional		$15.35	$18.01	$18.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.58 / $5.58 / $5.58	Professional		$5.58	$5.58	$5.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.67 / $20.67 / $53.74	Facility		$20.67	$20.67	$53.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.32 / $12.50 / $46.65	Professional		$9.32	$12.50	$46.65
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $12.40 / $20.67 / $20.67	Facility		$12.40	$20.67	$20.67
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $15.09 / $20.67 / $20.67	Professional		$15.09	$20.67	$20.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.44 / $41.69 / $212.67	Facility		$14.44	$41.69	$212.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.40 / $23.38 / $134.04	Professional		$15.40	$23.38	$134.04
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $15.10 / $28.94 / $332.00	Facility		$15.10	$28.94	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $9.44 / $12.40 / $37.83	Professional		$9.44	$12.40	$37.83
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.67 / $20.67 / $20.67	Facility		$20.67	$20.67	$20.67
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.23 / $20.67 / $26.66	Professional		$18.23	$20.67	$26.66
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $15.50 / $15.50 / $15.50	Professional		$15.50	$15.50	$15.50
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.64 / $30.60 / $92.08	Facility		$16.64	$30.60	$92.08
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $19.91 / $50.23 / $254.50	Facility		$19.91	$50.23	$254.50
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $16.59 / $28.42 / $42.58	Professional		$16.59	$28.42	$42.58
United Facility/Professional Professional Modifier Low / Median / High Price $8.68 / $12.40 / $30.36	Professional		$8.68	$12.40	$30.36
Univera Facility/Professional Facility Modifier Low / Median / High Price $23.77 / $23.77 / $76.14	Facility		$23.77	$23.77	$76.14
Univera Facility/Professional Professional Modifier Low / Median / High Price $18.23 / $22.36 / $27.45	Professional		$18.23	$22.36	$27.45