Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.47 / $50.63 / $82.41	Facility		$18.47	$50.63	$82.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.21 / $19.41 / $26.83	Professional		$15.21	$19.41	$26.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.87 / $5.87 / $9.77	Professional		$5.87	$5.87	$9.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.73 / $21.73 / $56.50	Facility		$21.73	$21.73	$56.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.37 / $13.14 / $49.05	Professional		$10.37	$13.14	$49.05
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $13.04 / $21.73 / $21.73	Facility		$13.04	$21.73	$21.73
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $15.86 / $21.73 / $21.73	Professional		$15.86	$21.73	$21.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.19 / $43.82 / $224.65	Facility		$15.19	$43.82	$224.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.27 / $20.81 / $124.85	Professional		$16.27	$20.81	$124.85
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $11.60 / $28.25 / $332.00	Facility		$11.60	$28.25	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $8.69 / $13.04 / $39.77	Professional		$8.69	$13.04	$39.77
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.47 / $21.73 / $28.84	Professional		$18.47	$21.73	$28.84
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $14.12 / $14.12 / $14.12	Professional		$14.12	$14.12	$14.12
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.25 / $33.71 / $105.24	Facility		$17.25	$33.71	$105.24
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $19.91 / $52.79 / $259.47	Facility		$19.91	$52.79	$259.47
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $17.44 / $29.87 / $47.54	Professional		$17.44	$29.87	$47.54
United Facility/Professional Professional Modifier Low / Median / High Price $7.69 / $13.04 / $31.92	Professional		$7.69	$13.04	$31.92
Univera Facility/Professional Facility Modifier Low / Median / High Price $24.99 / $24.99 / $80.03	Facility		$24.99	$24.99	$80.03
Univera Facility/Professional Professional Modifier Low / Median / High Price $19.14 / $24.29 / $33.11	Professional		$19.14	$24.29	$33.11