Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.77 / $37.15 / $110.82	Facility		$7.77	$37.15	$110.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.44 / $6.77 / $9.50	Professional		$5.44	$6.77	$9.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.10 / $2.10 / $3.73	Professional		$2.10	$2.10	$3.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.77 / $7.77 / $20.20	Facility		$7.77	$7.77	$20.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.84 / $4.70 / $17.60	Professional		$3.84	$4.70	$17.60
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $4.66 / $7.77 / $7.77	Facility		$4.66	$7.77	$7.77
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $5.67 / $7.77 / $7.77	Professional		$5.67	$7.77	$7.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.43 / $15.55 / $80.87	Facility		$5.43	$15.55	$80.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.98 / $10.84 / $17.54	Professional		$5.98	$10.84	$17.54
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $7.00 / $11.66 / $332.00	Facility		$7.00	$11.66	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $7.56 / $14.22	Professional		$3.55	$7.56	$14.22
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.20 / $3.20 / $3.20	Facility		$3.20	$3.20	$3.20
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.20 / $7.38 / $9.34	Professional		$3.20	$7.38	$9.34
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $1.92 / $1.92 / $2.56	Professional		$1.92	$1.92	$2.56
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.18 / $18.92 / $52.28	Facility		$6.18	$18.92	$52.28
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $7.00 / $7.00	Professional		$7.00	$7.00	$7.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $9.31 / $18.73 / $106.03	Facility		$9.31	$18.73	$106.03
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $5.63 / $10.84 / $16.98	Professional		$5.63	$10.84	$16.98
United Facility/Professional Facility Modifier Low / Median / High Price $2.63 / $2.63 / $2.63	Facility		$2.63	$2.63	$2.63
United Facility/Professional Professional Modifier Low / Median / High Price $3.26 / $4.66 / $11.66	Professional		$3.26	$4.66	$11.66
Univera Facility/Professional Facility Modifier Low / Median / High Price $8.94 / $8.94 / $28.45	Facility		$8.94	$8.94	$28.45
Univera Facility/Professional Professional Modifier Low / Median / High Price $4.30 / $8.15 / $10.25	Professional		$4.30	$8.15	$10.25