Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.69 / $51.06 / $102.44	Facility		$21.69	$51.06	$102.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.96 / $22.24 / $29.52	Professional		$18.96	$22.24	$29.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.89 / $6.89 / $6.89	Professional		$6.89	$6.89	$6.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.53 / $25.53 / $66.38	Facility		$25.53	$25.53	$66.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.18 / $15.44 / $57.62	Professional		$12.18	$15.44	$57.62
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $15.32 / $25.53 / $25.53	Facility		$15.32	$25.53	$25.53
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $18.64 / $25.53 / $25.53	Professional		$18.64	$25.53	$25.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.84 / $51.58 / $263.61	Facility		$17.84	$51.58	$263.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.09 / $28.86 / $163.44	Professional		$19.09	$28.86	$163.44
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $19.10 / $35.74 / $332.00	Facility		$19.10	$35.74	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $10.21 / $15.32 / $46.72	Professional		$10.21	$15.32	$46.72
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $25.53 / $33.89	Professional		$21.70	$25.53	$33.89
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $16.59 / $16.59 / $16.59	Professional		$16.59	$16.59	$16.59
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.04 / $37.04 / $113.73	Facility		$22.04	$37.04	$113.73
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $23.39 / $62.14 / $304.79	Facility		$23.39	$62.14	$304.79
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $20.36 / $31.45 / $52.59	Professional		$20.36	$31.45	$52.59
United Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $15.32 / $47.13	Professional		$10.72	$15.32	$47.13
Univera Facility/Professional Facility Modifier Low / Median / High Price $29.36 / $29.36 / $94.02	Facility		$29.36	$29.36	$94.02
Univera Facility/Professional Professional Modifier Low / Median / High Price $22.50 / $28.54 / $34.85	Professional		$22.50	$28.54	$34.85