Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $47.86 / $125.89	Facility		$17.78	$47.86	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $18.62 / $72.44	Professional		$15.14	$18.62	$72.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $5.62 / $20.89	Professional		$5.62	$5.62	$20.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $20.89 / $53.70	Facility		$20.89	$20.89	$53.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $10.72 / $50.12	Professional		$10.23	$10.72	$50.12
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $20.89 / $20.89	Facility		$12.59	$20.89	$20.89
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $20.89 / $20.89	Professional		$15.14	$20.89	$20.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $44.67 / $223.87	Facility		$15.85	$44.67	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $25.12 / $128.82	Professional		$13.49	$25.12	$128.82
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $24.55 / $57.54	Facility		$14.13	$24.55	$57.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $14.45 / $40.74	Professional		$9.77	$14.45	$40.74
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $20.89 / $20.89	Facility		$20.89	$20.89	$20.89
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $20.89 / $27.54	Professional		$18.20	$20.89	$27.54
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $43.65 / $112.20	Facility		$16.60	$43.65	$112.20
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $13.80 / $13.80	Professional		$13.80	$13.80	$13.80
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $38.90 / $50,118.72	Facility		$26.30	$38.90	$50,118.72
United Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $18.62 / $26.30	Facility		$12.59	$18.62	$26.30
United Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $12.59 / $31.62	Professional		$8.71	$12.59	$31.62
Univera Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $20.89 / $50.12	Facility		$17.78	$20.89	$50.12
Univera Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $21.88 / $66.07	Professional		$17.78	$21.88	$66.07