Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $45.71 / $93.33	Facility		$17.78	$45.71	$93.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $19.05 / $38.90	Professional		$15.14	$19.05	$38.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $5.62 / $5.62	Professional		$5.62	$5.62	$5.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $20.89 / $53.70	Facility		$20.89	$20.89	$53.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $10.72 / $48.98	Professional		$10.23	$10.72	$48.98
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $20.89 / $20.89	Facility		$12.59	$20.89	$20.89
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $20.89 / $20.89	Professional		$15.14	$20.89	$20.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $44.67 / $223.87	Facility		$15.85	$44.67	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $30.20 / $138.04	Professional		$13.49	$30.20	$138.04
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $26.30 / $66.07	Facility		$16.22	$26.30	$66.07
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $14.45 / $40.74	Professional		$9.77	$14.45	$40.74
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $20.89 / $20.89	Facility		$20.89	$20.89	$20.89
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $20.89 / $27.54	Professional		$18.20	$20.89	$27.54
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $47.86 / $93.33	Facility		$16.98	$47.86	$93.33
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $13.80 / $13.80	Professional		$13.80	$13.80	$13.80
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $38.90 / $50,118.72	Facility		$25.70	$38.90	$50,118.72
United Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $18.62 / $25.12	Facility		$12.59	$18.62	$25.12
United Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $12.59 / $31.62	Professional		$8.71	$12.59	$31.62
Univera Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $20.89 / $50.12	Facility		$17.78	$20.89	$50.12
Univera Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $21.88 / $66.07	Professional		$17.78	$21.88	$66.07