Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $33.11 / $95.50	Facility		$13.49	$33.11	$95.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.88 / $22.39	Professional		$10.00	$12.88	$22.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $6.31 / $12.02	Professional		$6.31	$6.31	$12.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $14.13 / $37.15	Facility		$14.13	$14.13	$37.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $7.24 / $33.88	Professional		$7.08	$7.24	$33.88
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $14.13 / $14.13	Facility		$8.51	$14.13	$14.13
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $14.13 / $14.13	Professional		$10.23	$14.13	$14.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $30.90 / $154.88	Facility		$10.72	$30.90	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $16.98 / $95.50	Professional		$10.72	$16.98	$95.50
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $15.49 / $38.90	Facility		$7.59	$15.49	$38.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $8.51 / $27.54	Professional		$5.75	$8.51	$27.54
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $5.75 / $5.75	Facility		$5.75	$5.75	$5.75
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $13.49 / $18.62	Professional		$5.75	$13.49	$18.62
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $23.99 / $83.18	Facility		$10.47	$23.99	$83.18
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $9.33 / $9.33	Professional		$9.33	$9.33	$9.33
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $25.70 / $50,118.72	Facility		$12.30	$25.70	$50,118.72
United Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $12.88 / $16.98	Facility		$8.51	$12.88	$16.98
United Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $8.51 / $21.38	Professional		$6.03	$8.51	$21.38
Univera Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $7.08 / $34.67	Facility		$5.75	$7.08	$34.67
Univera Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $14.13 / $45.71	Professional		$5.75	$14.13	$45.71