Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.05 / $32.61 / $64.81	Facility		$12.05	$32.61	$64.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.52 / $12.34 / $14.18	Professional		$10.52	$12.34	$14.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.83 / $3.83 / $3.83	Professional		$3.83	$3.83	$3.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.18 / $14.18 / $36.86	Facility		$14.18	$14.18	$36.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $8.57 / $34.32	Professional		$7.00	$8.57	$34.32
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $14.18 / $14.18	Facility		$8.51	$14.18	$14.18
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $10.35 / $14.18 / $14.18	Professional		$10.35	$14.18	$14.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.91 / $28.98 / $146.72	Facility		$9.91	$28.98	$146.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.63 / $16.07 / $91.81	Professional		$10.63	$16.07	$91.81
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $11.10 / $19.85 / $332.00	Facility		$11.10	$19.85	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.48 / $8.51 / $25.95	Professional		$6.48	$8.51	$25.95
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.18 / $14.18 / $14.18	Facility		$14.18	$14.18	$14.18
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $14.18 / $18.29	Professional		$12.49	$14.18	$18.29
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $10.64 / $10.64 / $10.64	Professional		$10.64	$10.64	$10.64
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.26 / $27.00 / $69.23	Facility		$10.26	$27.00	$69.23
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $13.83 / $34.90 / $192.38	Facility		$13.83	$34.90	$192.38
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $11.27 / $19.48 / $31.15	Professional		$11.27	$19.48	$31.15
United Facility/Professional Professional Modifier Low / Median / High Price $5.96 / $8.51 / $21.27	Professional		$5.96	$8.51	$21.27
Univera Facility/Professional Facility Modifier Low / Median / High Price $16.30 / $16.30 / $52.22	Facility		$16.30	$16.30	$52.22
Univera Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $15.93 / $18.82	Professional		$12.49	$15.93	$18.82