Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.85 / $64.30 / $208.78	Facility		$19.85	$64.30	$208.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.63 / $56.43 / $69.23	Professional		$21.63	$56.43	$69.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.46 / $11.46 / $12.13	Professional		$11.46	$11.46	$12.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.45 / $25.45 / $66.17	Facility		$25.45	$25.45	$66.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.21 / $12.57 / $34.08	Professional		$3.21	$12.57	$34.08
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $15.27 / $25.45 / $25.45	Facility		$15.27	$25.45	$25.45
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $18.57 / $25.45 / $25.45	Professional		$18.57	$25.45	$25.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $53.76 / $69.48	Facility		$17.78	$53.76	$69.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.87 / $28.49 / $152.41	Professional		$18.87	$28.49	$152.41
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $12.00 / $33.09 / $332.00	Facility		$12.00	$33.09	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $10.18 / $15.15 / $46.57	Professional		$10.18	$15.15	$46.57
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.90 / $7.90 / $7.90	Facility		$7.90	$7.90	$7.90
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.90 / $15.37 / $26.68	Professional		$7.90	$15.37	$26.68
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $17.82 / $17.82 / $17.82	Professional		$17.82	$17.82	$17.82
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.13 / $27.61 / $66.69	Facility		$17.13	$27.61	$66.69
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.96 / $16.96 / $16.96	Professional		$16.96	$16.96	$16.96
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $23.32 / $62.14 / $254.50	Facility		$23.32	$62.14	$254.50
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $10.15 / $22.19 / $52.43	Professional		$10.15	$22.19	$52.43
United Facility/Professional Professional Modifier Low / Median / High Price $7.98 / $14.00 / $46.99	Professional		$7.98	$14.00	$46.99
Univera Facility/Professional Facility Modifier Low / Median / High Price $29.27 / $29.27 / $50.64	Facility		$29.27	$29.27	$50.64
Univera Facility/Professional Professional Modifier Low / Median / High Price $10.09 / $21.63 / $30.59	Professional		$10.09	$21.63	$30.59