Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $31.97 / $79.50	Facility		$11.75	$31.97	$79.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.27 / $12.05 / $13.84	Professional		$10.27	$12.05	$13.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.59 / $6.59 / $6.59	Professional		$6.59	$6.59	$6.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.84 / $13.84 / $35.97	Facility		$13.84	$13.84	$35.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.60 / $8.36 / $30.47	Professional		$6.60	$8.36	$30.47
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $8.30 / $13.84 / $13.84	Facility		$8.30	$13.84	$13.84
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $10.10 / $13.84 / $13.84	Professional		$10.10	$13.84	$13.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.67 / $28.26 / $140.75	Facility		$9.67	$28.26	$140.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $13.35 / $93.19	Professional		$10.19	$13.35	$93.19
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $8.60 / $17.98 / $332.00	Facility		$8.60	$17.98	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.32 / $8.30 / $25.33	Professional		$6.32	$8.30	$25.33
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.84 / $13.84 / $13.84	Facility		$13.84	$13.84	$13.84
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.76 / $13.84 / $17.85	Professional		$11.76	$13.84	$17.85
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $9.69 / $9.69 / $9.69	Professional		$9.69	$9.69	$9.69
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.11 / $15.38 / $61.32	Facility		$10.11	$15.38	$61.32
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.14 / $9.14 / $9.23	Professional		$9.14	$9.14	$9.23
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $13.73 / $34.04 / $184.53	Facility		$13.73	$34.04	$184.53
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $11.10 / $19.01 / $54.40	Professional		$11.10	$19.01	$54.40
United Facility/Professional Facility Modifier Low / Median / High Price $12.46 / $12.46 / $13.84	Facility		$12.46	$12.46	$13.84
United Facility/Professional Professional Modifier Low / Median / High Price $5.81 / $8.30 / $20.32	Professional		$5.81	$8.30	$20.32
Univera Facility/Professional Facility Modifier Low / Median / High Price $15.92 / $15.92 / $46.96	Facility		$15.92	$15.92	$46.96
Univera Facility/Professional Professional Modifier Low / Median / High Price $11.52 / $15.05 / $18.21	Professional		$11.52	$15.05	$18.21