Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.14 / $30.81 / $76.59	Facility		$11.14	$30.81	$76.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.57 / $11.56 / $15.54	Professional		$9.57	$11.56	$15.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $3.50 / $6.22	Professional		$3.50	$3.50	$6.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.95 / $12.95 / $33.67	Facility		$12.95	$12.95	$33.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.18 / $7.83 / $29.21	Professional		$6.18	$7.83	$29.21
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $7.77 / $12.95 / $12.95	Facility		$7.77	$12.95	$12.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $9.44 / $12.95 / $12.95	Professional		$9.44	$12.95	$12.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.05 / $27.31 / $131.80	Facility		$9.05	$27.31	$131.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.53 / $14.87 / $84.46	Professional		$9.53	$14.87	$84.46
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $11.00 / $19.03 / $332.00	Facility		$11.00	$19.03	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.92 / $7.77 / $23.70	Professional		$5.92	$7.77	$23.70
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.35 / $10.35 / $10.35	Facility		$10.35	$10.35	$10.35
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.35 / $12.43 / $16.30	Professional		$10.35	$12.43	$16.30
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $6.21 / $6.21 / $8.27	Professional		$6.21	$6.21	$8.27
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.47 / $23.97 / $57.38	Facility		$9.47	$23.97	$57.38
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.55 / $8.55 / $8.64	Professional		$8.55	$8.55	$8.64
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $13.73 / $31.50 / $172.81	Facility		$13.73	$31.50	$172.81
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $14.61 / $26.68	Professional		$5.00	$14.61	$26.68
United Facility/Professional Professional Modifier Low / Median / High Price $5.44 / $7.77 / $19.43	Professional		$5.44	$7.77	$19.43
Univera Facility/Professional Facility Modifier Low / Median / High Price $14.89 / $14.89 / $47.69	Facility		$14.89	$14.89	$47.69
Univera Facility/Professional Professional Modifier Low / Median / High Price $11.41 / $14.00 / $17.19	Professional		$11.41	$14.00	$17.19