Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.39 / $52.90 / $98.21	Facility		$18.39	$52.90	$98.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.95 / $16.04 / $22.50	Professional		$11.95	$16.04	$22.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.97 / $8.27 / $8.83	Professional		$4.97	$8.27	$8.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.39 / $18.39 / $47.81	Facility		$18.39	$18.39	$47.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.77 / $11.12 / $41.51	Professional		$8.77	$11.12	$41.51
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $11.03 / $18.39 / $18.39	Facility		$11.03	$18.39	$18.39
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $13.42 / $18.39 / $18.39	Professional		$13.42	$18.39	$18.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.85 / $37.46 / $188.72	Facility		$12.85	$37.46	$188.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.66 / $20.82 / $40.65	Professional		$13.66	$20.82	$40.65
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $10.10 / $23.91 / $332.00	Facility		$10.10	$23.91	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $8.40 / $11.03 / $33.65	Professional		$8.40	$11.03	$33.65
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.39 / $18.39 / $18.39	Facility		$18.39	$18.39	$18.39
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.21 / $18.39 / $23.72	Professional		$16.21	$18.39	$23.72
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $11.03 / $11.03 / $14.71	Professional		$11.03	$11.03	$14.71
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.30 / $35.88 / $81.56	Facility		$13.30	$35.88	$81.56
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.25 / $12.25 / $12.25	Professional		$12.25	$12.25	$12.25
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $17.93 / $45.13 / $247.44	Facility		$17.93	$45.13	$247.44
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $14.76 / $25.93 / $37.88	Professional		$14.76	$25.93	$37.88
United Facility/Professional Professional Modifier Low / Median / High Price $7.72 / $11.03 / $27.87	Professional		$7.72	$11.03	$27.87
Univera Facility/Professional Facility Modifier Low / Median / High Price $21.15 / $21.15 / $67.78	Facility		$21.15	$21.15	$67.78
Univera Facility/Professional Professional Modifier Low / Median / High Price $16.21 / $20.65 / $24.42	Professional		$16.21	$20.65	$24.42