Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $61.66 / $158.49	Facility		$22.39	$61.66	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $22.39 / $51.29	Professional		$18.20	$22.39	$51.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $21.88 / $25.70	Professional		$6.92	$21.88	$25.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $67.61	Facility		$25.70	$25.70	$67.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $13.49 / $61.66	Professional		$12.88	$13.49	$61.66
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $25.70 / $25.70	Facility		$15.49	$25.70	$25.70
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $25.70 / $25.70	Professional		$19.05	$25.70	$25.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $54.95 / $281.84	Facility		$19.50	$54.95	$281.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $30.90 / $138.04	Professional		$19.50	$30.90	$138.04
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $33.88 / $85.11	Facility		$20.89	$33.88	$85.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $18.20 / $50.12	Professional		$12.02	$18.20	$50.12
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $25.70	Facility		$25.70	$25.70	$25.70
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $25.70 / $34.67	Professional		$22.91	$25.70	$34.67
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $39.81 / $138.04	Facility		$19.05	$39.81	$138.04
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $16.22	Professional		$15.49	$15.49	$16.22
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $48.98 / $50,118.72	Facility		$32.36	$48.98	$50,118.72
United Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $23.44 / $32.36	Facility		$15.49	$23.44	$32.36
United Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $15.49 / $38.90	Professional		$10.96	$15.49	$38.90
Univera Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $25.70 / $63.10	Facility		$21.88	$25.70	$63.10
Univera Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $26.92 / $83.18	Professional		$21.88	$26.92	$83.18