Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.65 / $37.10 / $78.53	Facility		$13.65	$37.10	$78.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.88 / $13.90 / $18.47	Professional		$11.88	$13.90	$18.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.71 / $7.71 / $7.71	Professional		$7.71	$7.71	$7.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.05 / $16.05 / $41.76	Facility		$16.05	$16.05	$41.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.10 / $9.63 / $34.14	Professional		$7.10	$9.63	$34.14
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $9.64 / $16.05 / $16.05	Facility		$9.64	$16.05	$16.05
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $11.72 / $16.05 / $16.05	Professional		$11.72	$16.05	$16.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $32.50 / $164.77	Facility		$11.22	$32.50	$164.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.93 / $15.53 / $102.83	Professional		$11.93	$15.53	$102.83
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $9.10 / $20.88 / $332.00	Facility		$9.10	$20.88	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.42 / $9.64 / $29.39	Professional		$6.42	$9.64	$29.39
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.40 / $15.26 / $19.30	Professional		$7.40	$15.26	$19.30
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.62 / $28.25 / $78.05	Facility		$11.62	$28.25	$78.05
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.60 / $10.60 / $10.60	Professional		$10.60	$10.60	$10.60
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $15.66 / $39.15 / $216.04	Facility		$15.66	$39.15	$216.04
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $12.89 / $22.08 / $56.29	Professional		$12.89	$22.08	$56.29
United Facility/Professional Professional Modifier Low / Median / High Price $5.69 / $9.64 / $24.09	Professional		$5.69	$9.64	$24.09
Univera Facility/Professional Facility Modifier Low / Median / High Price $18.47 / $18.47 / $30.22	Facility		$18.47	$18.47	$30.22
Univera Facility/Professional Professional Modifier Low / Median / High Price $7.40 / $15.42 / $22.66	Professional		$7.40	$15.42	$22.66