Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.02 / $30.26 / $98.67	Facility		$9.02	$30.26	$98.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $7.86 / $10.78	Professional		$6.31	$7.86	$10.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.44 / $2.44 / $4.33	Professional		$2.44	$2.44	$4.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.02 / $9.02 / $23.45	Facility		$9.02	$9.02	$23.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.30 / $5.45 / $20.35	Professional		$4.30	$5.45	$20.35
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $5.41 / $9.02 / $9.02	Facility		$5.41	$9.02	$9.02
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $6.58 / $9.02 / $9.02	Professional		$6.58	$9.02	$9.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.30 / $18.38 / $92.85	Facility		$6.30	$18.38	$92.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.72 / $10.23 / $20.07	Professional		$6.72	$10.23	$20.07
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $11.85 / $332.00	Facility		$5.50	$11.85	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4.12 / $5.41 / $16.51	Professional		$4.12	$5.41	$16.51
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.00 / $9.00 / $9.00	Facility		$9.00	$9.00	$9.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.95 / $9.00 / $11.97	Professional		$7.95	$9.00	$11.97
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $5.40 / $5.40 / $7.20	Professional		$5.40	$5.40	$7.20
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.26 / $18.14 / $79.64	Facility		$7.26	$18.14	$79.64
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.01 / $6.01 / $6.01	Professional		$6.01	$6.01	$6.01
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $11.00 / $22.14 / $121.73	Facility		$11.00	$22.14	$121.73
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $7.23 / $12.72 / $20.07	Professional		$7.23	$12.72	$20.07
United Facility/Professional Professional Modifier Low / Median / High Price $3.79 / $5.41 / $15.18	Professional		$3.79	$5.41	$15.18
Univera Facility/Professional Facility Modifier Low / Median / High Price $10.37 / $10.37 / $33.22	Facility		$10.37	$10.37	$33.22
Univera Facility/Professional Professional Modifier Low / Median / High Price $7.95 / $10.13 / $13.77	Professional		$7.95	$10.13	$13.77