Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.22 / $42.20 / $91.44	Facility		$15.22	$42.20	$91.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.49 / $15.95 / $30.44	Professional		$9.49	$15.95	$30.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.52 / $8.52 / $8.52	Professional		$8.52	$8.52	$8.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.89 / $17.89 / $46.54	Facility		$17.89	$17.89	$46.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.83 / $8.92 / $28.40	Professional		$4.83	$8.92	$28.40
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $10.74 / $17.89 / $17.89	Facility		$10.74	$17.89	$17.89
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $13.07 / $17.89 / $17.89	Professional		$13.07	$17.89	$17.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.51 / $36.03 / $94.03	Facility		$12.51	$36.03	$94.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.23 / $17.07 / $97.70	Professional		$13.23	$17.07	$97.70
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $15.10 / $26.12 / $332.00	Facility		$15.10	$26.12	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $8.18 / $10.65 / $32.76	Professional		$8.18	$10.65	$32.76
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.49 / $9.49 / $9.49	Facility		$9.49	$9.49	$9.49
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.49 / $17.01 / $23.77	Professional		$9.49	$17.01	$23.77
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $12.53 / $12.53 / $12.53	Professional		$12.53	$12.53	$12.53
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.41 / $44.89 / $88.58	Facility		$14.41	$44.89	$88.58
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $17.46 / $43.41 / $239.59	Facility		$17.46	$43.41	$239.59
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $14.23 / $17.89 / $36.86	Professional		$14.23	$17.89	$36.86
United Facility/Professional Professional Modifier Low / Median / High Price $7.43 / $9.38 / $28.22	Professional		$7.43	$9.38	$28.22
Univera Facility/Professional Facility Modifier Low / Median / High Price $20.58 / $20.58 / $65.94	Facility		$20.58	$20.58	$65.94
Univera Facility/Professional Professional Modifier Low / Median / High Price $14.62 / $19.36 / $26.40	Professional		$14.62	$19.36	$26.40