Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.08 / $11.30 / $43.80	Facility		$4.08	$11.30	$43.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.31 / $4.04 / $5.53	Professional		$2.31	$4.04	$5.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.16 / $2.16 / $2.16	Professional		$2.16	$2.16	$2.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.80 / $4.80 / $12.51	Facility		$4.80	$4.80	$12.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $2.91 / $10.86	Professional		$2.29	$2.91	$10.86
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2.89 / $4.80 / $4.80	Facility		$2.89	$4.80	$4.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3.51 / $4.80 / $4.80	Professional		$3.51	$4.80	$4.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.36 / $9.89 / $50.93	Facility		$3.36	$9.89	$50.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.69 / $5.48 / $31.22	Professional		$3.69	$5.48	$31.22
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $3.00 / $6.25 / $332.00	Facility		$3.00	$6.25	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.20 / $2.89 / $8.80	Professional		$2.20	$2.89	$8.80
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.80 / $4.80 / $4.80	Facility		$4.80	$4.80	$4.80
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.09 / $4.80 / $6.20	Professional		$4.09	$4.80	$6.20
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $3.61 / $3.61 / $3.61	Professional		$3.61	$3.61	$3.61
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.49 / $12.09 / $21.33	Facility		$3.49	$12.09	$21.33
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.21 / $3.21 / $3.21	Professional		$3.21	$3.21	$3.21
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $5.93 / $11.91 / $66.78	Facility		$5.93	$11.91	$66.78
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $3.76 / $5.48 / $9.91	Professional		$3.76	$5.48	$9.91
United Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $2.89 / $7.22	Professional		$2.02	$2.89	$7.22
Univera Facility/Professional Facility Modifier Low / Median / High Price $5.53 / $5.53 / $17.72	Facility		$5.53	$5.53	$17.72
Univera Facility/Professional Professional Modifier Low / Median / High Price $3.93 / $5.20 / $6.38	Professional		$3.93	$5.20	$6.38