Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.40 / $33.00 / $101.28	Facility		$11.40	$33.00	$101.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $20.94 / $39.84	Professional		$10.19	$20.94	$39.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.72 / $5.72 / $5.72	Professional		$5.72	$5.72	$5.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.00 / $12.00 / $31.20	Facility		$12.00	$12.00	$31.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.73 / $7.26 / $27.07	Professional		$5.73	$7.26	$27.07
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $7.20 / $12.00 / $12.00	Facility		$7.20	$12.00	$12.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $8.76 / $12.00 / $12.00	Professional		$8.76	$12.00	$12.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.39 / $25.16 / $122.78	Facility		$8.39	$25.16	$122.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.89 / $11.49 / $78.94	Professional		$8.89	$11.49	$78.94
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $7.50 / $16.45 / $332.00	Facility		$7.50	$16.45	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.48 / $7.20 / $21.96	Professional		$5.48	$7.20	$21.96
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.61 / $10.61 / $10.61	Facility		$10.61	$10.61	$10.61
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.58 / $11.52 / $15.94	Professional		$10.58	$11.52	$15.94
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $6.37 / $6.37 / $6.37	Professional		$6.37	$6.37	$6.37
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.69 / $23.44 / $78.70	Facility		$8.69	$23.44	$78.70
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $13.73 / $28.95 / $160.97	Facility		$13.73	$28.95	$160.97
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $9.63 / $14.55 / $24.72	Professional		$9.63	$14.55	$24.72
United Facility/Professional Professional Modifier Low / Median / High Price $5.04 / $7.20 / $18.19	Professional		$5.04	$7.20	$18.19
Univera Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $13.80 / $44.26	Facility		$13.80	$13.80	$44.26
Univera Facility/Professional Professional Modifier Low / Median / High Price $10.58 / $13.48 / $21.48	Professional		$10.58	$13.48	$21.48