Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.44 / $52.01 / $102.18	Facility		$18.44	$52.01	$102.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.70 / $18.47 / $21.23	Professional		$15.70	$18.47	$21.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.73 / $5.73 / $10.19	Professional		$5.73	$5.73	$10.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.23 / $21.23 / $55.20	Facility		$21.23	$21.23	$55.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.13 / $12.84 / $47.91	Professional		$10.13	$12.84	$47.91
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $12.74 / $21.23 / $21.23	Facility		$12.74	$21.23	$21.23
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $15.50 / $21.23 / $21.23	Professional		$15.50	$21.23	$21.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.83 / $43.10 / $218.66	Facility		$14.83	$43.10	$218.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.83 / $23.74 / $135.87	Professional		$15.83	$23.74	$135.87
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $17.10 / $29.72 / $332.00	Facility		$17.10	$29.72	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $9.69 / $12.74 / $38.85	Professional		$9.69	$12.74	$38.85
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.15 / $15.15 / $15.15	Facility		$15.15	$15.15	$15.15
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.15 / $20.17 / $28.02	Professional		$15.15	$20.17	$28.02
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $11.21 / $11.21 / $11.21	Professional		$11.21	$11.21	$11.21
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.70 / $29.70 / $94.57	Facility		$16.70	$29.70	$94.57
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $19.91 / $51.93 / $254.50	Facility		$19.91	$51.93	$254.50
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $17.00 / $29.19 / $46.47	Professional		$17.00	$29.19	$46.47
United Facility/Professional Facility Modifier Low / Median / High Price $19.11 / $19.11 / $21.23	Facility		$19.11	$19.11	$21.23
United Facility/Professional Professional Modifier Low / Median / High Price $8.92 / $12.74 / $31.85	Professional		$8.92	$12.74	$31.85
Univera Facility/Professional Facility Modifier Low / Median / High Price $24.41 / $24.41 / $78.22	Facility		$24.41	$24.41	$78.22
Univera Facility/Professional Professional Modifier Low / Median / High Price $18.71 / $22.97 / $28.19	Professional		$18.71	$22.97	$28.19