Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.51 / $50.65 / $165.30	Facility		$17.51	$50.65	$165.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.08 / $14.39 / $26.35	Professional		$10.08	$14.39	$26.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.54 / $8.01 / $8.40	Professional		$4.54	$8.01	$8.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.80 / $16.80 / $43.68	Facility		$16.80	$16.80	$43.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.02 / $10.16 / $38.04	Professional		$8.02	$10.16	$38.04
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $10.08 / $16.80 / $16.80	Facility		$10.08	$16.80	$16.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $12.26 / $16.80 / $16.80	Professional		$12.26	$16.80	$16.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.74 / $33.90 / $173.72	Facility		$11.74	$33.90	$173.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.92 / $22.21 / $38.28	Professional		$12.92	$22.21	$38.28
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $11.10 / $23.52 / $332.00	Facility		$11.10	$23.52	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.15 / $10.08 / $31.42	Professional		$6.15	$10.08	$31.42
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.09 / $9.09 / $9.09	Facility		$9.09	$9.09	$9.09
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.09 / $15.96 / $20.19	Professional		$9.09	$15.96	$20.19
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $5.45 / $5.45 / $7.27	Professional		$5.45	$5.45	$7.27
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.52 / $30.60 / $85.04	Facility		$13.52	$30.60	$85.04
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.19 / $11.19 / $11.19	Professional		$11.19	$11.19	$11.19
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $16.38 / $40.86 / $227.76	Facility		$16.38	$40.86	$227.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $13.36 / $19.82 / $36.75	Professional		$13.36	$19.82	$36.75
United Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Facility		$60.00	$60.00	$60.00
United Facility/Professional Professional Modifier Low / Median / High Price $7.06 / $10.08 / $25.20	Professional		$7.06	$10.08	$25.20
Univera Facility/Professional Facility Modifier Low / Median / High Price $19.32 / $19.32 / $61.87	Facility		$19.32	$19.32	$61.87
Univera Facility/Professional Professional Modifier Low / Median / High Price $11.61 / $17.61 / $22.30	Professional		$11.61	$17.61	$22.30