Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.93 / $59.79 / $275.02	Facility		$17.93	$59.79	$275.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.63 / $76.25 / $146.34	Professional		$15.63	$76.25	$146.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.84 / $4.84 / $8.61	Professional		$4.84	$4.84	$8.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.93 / $17.93 / $46.62	Facility		$17.93	$17.93	$46.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.86 / $10.93 / $41.17	Professional		$8.86	$10.93	$41.17
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $10.76 / $17.93 / $17.93	Facility		$10.76	$17.93	$17.93
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $13.09 / $17.93 / $17.93	Professional		$13.09	$17.93	$17.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.53 / $37.86 / $185.69	Facility		$12.53	$37.86	$185.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.45 / $20.09 / $115.68	Professional		$13.45	$20.09	$115.68
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $10.60 / $23.31 / $332.00	Facility		$10.60	$23.31	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.17 / $10.67 / $32.81	Professional		$7.17	$10.67	$32.81
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $5.25 / $5.25	Facility		$5.25	$5.25	$5.25
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $14.46 / $20.14	Professional		$5.25	$14.46	$20.14
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $4.20 / $4.20 / $4.20	Professional		$4.20	$4.20	$4.20
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.96 / $30.48 / $62.27	Facility		$12.96	$30.48	$62.27
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.94 / $11.94 / $11.94	Professional		$11.94	$11.94	$11.94
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $17.48 / $43.41 / $243.46	Facility		$17.48	$43.41	$243.46
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $14.39 / $25.00 / $36.94	Professional		$14.39	$25.00	$36.94
United Facility/Professional Professional Modifier Low / Median / High Price $7.53 / $10.76 / $28.15	Professional		$7.53	$10.76	$28.15
Univera Facility/Professional Facility Modifier Low / Median / High Price $20.62 / $20.62 / $47.67	Facility		$20.62	$20.62	$47.67
Univera Facility/Professional Professional Modifier Low / Median / High Price $10.57 / $17.18 / $21.55	Professional		$10.57	$17.18	$21.55