Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.96 / $48.19 / $125.85	Facility		$17.96	$48.19	$125.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.60 / $18.14 / $27.45	Professional		$14.60	$18.14	$27.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.63 / $5.63 / $10.01	Professional		$5.63	$5.63	$10.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.86 / $20.86 / $54.24	Facility		$20.86	$20.86	$54.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.66 / $12.62 / $47.09	Professional		$9.66	$12.62	$47.09
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $12.52 / $20.86 / $20.86	Facility		$12.52	$20.86	$20.86
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $15.23 / $20.86 / $20.86	Professional		$15.23	$20.86	$20.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.58 / $42.39 / $215.63	Facility		$14.58	$42.39	$215.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.62 / $23.38 / $124.85	Professional		$15.62	$23.38	$124.85
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $14.10 / $28.91 / $332.00	Facility		$14.10	$28.91	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $9.52 / $14.60 / $39.01	Professional		$9.52	$14.60	$39.01
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.86 / $20.86 / $20.86	Facility		$20.86	$20.86	$20.86
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.39 / $20.86 / $26.91	Professional		$18.39	$20.86	$26.91
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $10.43 / $14.81 / $17.52	Professional		$10.43	$14.81	$17.52
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.39 / $52.15 / $153.85	Facility		$16.39	$52.15	$153.85
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.76 / $13.90 / $13.90	Professional		$13.76	$13.90	$13.90
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $19.91 / $51.07 / $254.50	Facility		$19.91	$51.07	$254.50
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $16.73 / $29.94 / $42.97	Professional		$16.73	$29.94	$42.97
United Facility/Professional Professional Modifier Low / Median / High Price $8.76 / $12.52 / $31.29	Professional		$8.76	$12.52	$31.29
Univera Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $76.84	Facility		$23.99	$23.99	$76.84
Univera Facility/Professional Professional Modifier Low / Median / High Price $18.39 / $22.56 / $27.69	Professional		$18.39	$22.56	$27.69