Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $25.12 / $87.10	Facility		$10.72	$25.12	$87.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $9.77 / $28.84	Professional		$7.08	$9.77	$28.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $10.72 / $10.72	Professional		$10.72	$10.72	$10.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $10.72 / $28.18	Facility		$10.72	$10.72	$28.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $5.25 / $27.54	Professional		$5.25	$5.25	$27.54
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $10.72 / $25.70	Facility		$6.46	$10.72	$25.70
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $10.72 / $25.70	Professional		$10.72	$10.72	$25.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $22.91 / $117.49	Facility		$8.13	$22.91	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $26.92 / $81.28	Professional		$8.32	$26.92	$81.28
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $12.88 / $30.90	Facility		$7.59	$12.88	$30.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $7.59 / $20.89	Professional		$5.01	$7.59	$20.89
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $8.13 / $8.13	Facility		$8.13	$8.13	$8.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $10.23 / $14.13	Professional		$8.13	$10.23	$14.13
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $22.39 / $47.86	Facility		$8.71	$22.39	$47.86
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $7.08 / $7.08	Professional		$7.08	$7.08	$7.08
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $19.50 / $50,118.72	Facility		$10.72	$19.50	$50,118.72
United Facility/Professional Facility Modifier Low / Median / High Price $6.92 / $10.23 / $12.88	Facility		$6.92	$10.23	$12.88
United Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $6.46 / $16.60	Professional		$4.47	$6.46	$16.60
Univera Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $9.12 / $25.70	Facility		$8.13	$9.12	$25.70
Univera Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $10.72 / $34.67	Professional		$8.13	$10.72	$34.67