Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.28 / $26.51 / $118.22	Facility		$10.28	$26.51	$118.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.59 / $10.78 / $21.00	Professional		$6.59	$10.78	$21.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.44 / $5.44 / $5.44	Professional		$5.44	$5.44	$5.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.09 / $12.09 / $31.43	Facility		$12.09	$12.09	$31.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.84 / $6.16 / $22.10	Professional		$4.84	$6.16	$22.10
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $7.25 / $12.09 / $12.09	Facility		$7.25	$12.09	$12.09
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $8.83 / $12.09 / $12.09	Professional		$8.83	$12.09	$12.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.41 / $15.26 / $29.73	Facility		$6.41	$15.26	$29.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.77 / $17.04 / $58.27	Professional		$6.77	$17.04	$58.27
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $10.75 / $17.42 / $332.00	Facility		$10.75	$17.42	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4.84 / $7.19 / $22.61	Professional		$4.84	$7.19	$22.61
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.32 / $7.32 / $7.32	Facility		$7.32	$7.32	$7.32
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.32 / $10.28 / $13.58	Professional		$7.32	$10.28	$13.58
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $3.66 / $3.66 / $3.66	Professional		$3.66	$3.66	$3.66
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.09 / $30.32 / $110.76	Facility		$12.09	$30.32	$110.76
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $8.44 / $25.55 / $555.00	Facility		$8.44	$25.55	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $7.86 / $11.55 / $24.91	Professional		$7.86	$11.55	$24.91
United Facility/Professional Facility Modifier Low / Median / High Price $10.88 / $10.88 / $12.09	Facility		$10.88	$10.88	$12.09
United Facility/Professional Professional Modifier Low / Median / High Price $5.08 / $7.25 / $21.39	Professional		$5.08	$7.25	$21.39
Univera Facility/Professional Facility Modifier Low / Median / High Price $13.90 / $13.90 / $17.10	Facility		$13.90	$13.90	$17.10
Univera Facility/Professional Professional Modifier Low / Median / High Price $7.57 / $11.49 / $14.53	Professional		$7.57	$11.49	$14.53