Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.71 / $39.64 / $96.20	Facility		$14.71	$39.64	$96.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.01 / $14.78 / $22.52	Professional		$11.01	$14.78	$22.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $4.57 / $8.13	Professional		$4.57	$4.57	$8.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.94 / $16.94 / $44.04	Facility		$16.94	$16.94	$44.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.08 / $10.24 / $38.24	Professional		$8.08	$10.24	$38.24
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $10.16 / $16.94 / $16.94	Facility		$10.16	$16.94	$16.94
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $12.37 / $16.94 / $16.94	Professional		$12.37	$16.94	$16.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.83 / $34.63 / $173.72	Facility		$11.83	$34.63	$173.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.58 / $18.98 / $37.49	Professional		$12.58	$18.98	$37.49
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $14.60 / $25.26 / $332.00	Facility		$14.60	$25.26	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.74 / $10.08 / $31.00	Professional		$7.74	$10.08	$31.00
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 / $16.09 / $20.36	Professional		$9.09	$16.09	$20.36
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $7.27 / $7.27 / $7.64	Professional		$7.27	$7.27	$7.64
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.33 / $34.00 / $82.44	Facility		$13.33	$34.00	$82.44
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.18 / $11.29 / $11.29	Professional		$11.18	$11.29	$11.29
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $16.52 / $41.72 / $227.76	Facility		$16.52	$41.72	$227.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $13.60 / $23.89 / $39.60	Professional		$13.60	$23.89	$39.60
United Facility/Professional Professional Modifier Low / Median / High Price $7.11 / $10.16 / $25.41	Professional		$7.11	$10.16	$25.41
Univera Facility/Professional Facility Modifier Low / Median / High Price $19.48 / $19.48 / $62.40	Facility		$19.48	$19.48	$62.40
Univera Facility/Professional Professional Modifier Low / Median / High Price $13.83 / $17.87 / $22.49	Professional		$13.83	$17.87	$22.49