Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.12 / $61.15 / $108.53	Facility		$22.12	$61.15	$108.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.55 / $21.78 / $25.47	Professional		$16.55	$21.78	$25.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.88 / $6.88 / $11.46	Professional		$6.88	$6.88	$11.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.47 / $25.47 / $66.22	Facility		$25.47	$25.47	$66.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.04 / $15.40 / $57.49	Professional		$12.04	$15.40	$57.49
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $15.28 / $25.47 / $25.47	Facility		$15.28	$25.47	$25.47
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $25.47 / $25.47	Professional		$18.59	$25.47	$25.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.80 / $51.58 / $260.57	Facility		$17.80	$51.58	$260.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.87 / $29.32 / $163.44	Professional		$18.87	$29.32	$163.44
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $22.60 / $38.21 / $332.00	Facility		$22.60	$38.21	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $11.64 / $15.28 / $46.61	Professional		$11.64	$15.28	$46.61
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.47 / $25.47 / $25.47	Facility		$25.47	$25.47	$25.47
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.45 / $25.47 / $33.79	Professional		$22.45	$25.47	$33.79
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $20.38 / $20.38 / $20.38	Professional		$20.38	$20.38	$20.38
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.62 / $34.72 / $105.93	Facility		$17.62	$34.72	$105.93
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $23.35 / $62.14 / $304.08	Facility		$23.35	$62.14	$304.08
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $17.89 / $28.49 / $52.47	Professional		$17.89	$28.49	$52.47
United Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $15.28 / $38.60	Professional		$9.02	$15.28	$38.60
Univera Facility/Professional Facility Modifier Low / Median / High Price $29.29 / $29.29 / $93.76	Facility		$29.29	$29.29	$93.76
Univera Facility/Professional Professional Modifier Low / Median / High Price $22.45 / $28.61 / $47.34	Professional		$22.45	$28.61	$47.34