Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.31 / $38.09 / $210.87	Facility		$14.31	$38.09	$210.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $13.45 / $21.55	Professional		$10.54	$13.45	$21.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.05 / $4.05 / $7.22	Professional		$4.05	$4.05	$7.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.05 / $15.05 / $39.13	Facility		$15.05	$15.05	$39.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.44 / $9.18 / $36.85	Professional		$7.44	$9.18	$36.85
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $9.02 / $15.05 / $15.05	Facility		$9.02	$15.05	$15.05
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $10.99 / $15.05 / $15.05	Professional		$10.99	$15.05	$15.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.52 / $30.39 / $155.75	Facility		$10.52	$30.39	$155.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.28 / $16.16 / $33.27	Professional		$11.28	$16.16	$33.27
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $12.60 / $21.80 / $332.00	Facility		$12.60	$21.80	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.88 / $10.54 / $28.14	Professional		$6.88	$10.54	$28.14
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.49 / $12.49 / $12.49	Facility		$12.49	$12.49	$12.49
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $14.46 / $19.98	Professional		$12.49	$14.46	$19.98
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $8.86 / $8.86 / $9.99	Professional		$8.86	$8.86	$9.99
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.85 / $37.75 / $169.71	Facility		$11.85	$37.75	$169.71
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.02 / $10.02 / $10.02	Professional		$10.02	$10.02	$10.02
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $14.67 / $36.61 / $204.21	Facility		$14.67	$36.61	$204.21
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $10.49 / $16.16 / $31.00	Professional		$10.49	$16.16	$31.00
United Facility/Professional Professional Modifier Low / Median / High Price $6.77 / $9.02 / $21.82	Professional		$6.77	$9.02	$21.82
Univera Facility/Professional Facility Modifier Low / Median / High Price $17.30 / $17.30 / $55.43	Facility		$17.30	$17.30	$55.43
Univera Facility/Professional Professional Modifier Low / Median / High Price $13.27 / $16.28 / $20.39	Professional		$13.27	$16.28	$20.39