Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.38 / $50.58 / $154.72	Facility		$19.38	$50.58	$154.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.33 / $16.89 / $38.76	Professional		$14.33	$16.89	$38.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.23 / $5.23 / $8.72	Professional		$5.23	$5.23	$8.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.38 / $19.38 / $50.39	Facility		$19.38	$19.38	$50.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.17 / $11.72 / $43.90	Professional		$9.17	$11.72	$43.90
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $11.63 / $19.38 / $19.38	Facility		$11.63	$19.38	$19.38
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $14.15 / $19.38 / $19.38	Professional		$14.15	$19.38	$19.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.55 / $39.57 / $197.67	Facility		$13.55	$39.57	$197.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.32 / $21.92 / $124.85	Professional		$14.32	$21.92	$124.85
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $28.72 / $332.00	Facility		$16.60	$28.72	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $8.86 / $13.57 / $36.24	Professional		$8.86	$13.57	$36.24
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.38 / $19.38 / $19.38	Facility		$19.38	$19.38	$19.38
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.07 / $19.38 / $25.00	Professional		$17.07	$19.38	$25.00
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 $14.02 / $31.86 / $105.57	Facility		$14.02	$31.86	$105.57
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.79 / $12.92 / $12.92	Professional		$12.79	$12.92	$12.92
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $18.89 / $47.68 / $254.50	Facility		$18.89	$47.68	$254.50
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $15.42 / $22.01 / $39.92	Professional		$15.42	$22.01	$39.92
United Facility/Professional Professional Modifier Low / Median / High Price $8.14 / $11.63 / $31.68	Professional		$8.14	$11.63	$31.68
Univera Facility/Professional Facility Modifier Low / Median / High Price $22.29 / $22.29 / $71.41	Facility		$22.29	$22.29	$71.41
Univera Facility/Professional Professional Modifier Low / Median / High Price $17.07 / $20.96 / $25.73	Professional		$17.07	$20.96	$25.73