Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.46 / $30.46 / $99.64	Facility		$10.46	$30.46	$99.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $10.74 / $32.22	Professional		$9.33	$10.74	$32.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.42 / $5.42 / $5.78	Professional		$5.42	$5.42	$5.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.05 / $12.05 / $31.33	Facility		$12.05	$12.05	$31.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.95 / $7.35 / $29.49	Professional		$5.95	$7.35	$29.49
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $10.86 / $12.05 / $25.93	Facility		$10.86	$12.05	$25.93
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $12.05 / $12.05 / $25.93	Professional		$12.05	$12.05	$25.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.42 / $25.45 / $122.78	Facility		$8.42	$25.45	$122.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.27 / $22.21 / $85.69	Professional		$9.27	$22.21	$85.69
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $8.10 / $16.61 / $332.00	Facility		$8.10	$16.61	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $7.17 / $22.05	Professional		$5.25	$7.17	$22.05
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 / $11.45 / $16.00	Professional		$5.25	$11.45	$16.00
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $8.44 / $8.44 / $8.44	Professional		$8.44	$8.44	$8.44
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.57 / $27.37 / $53.43	Facility		$9.57	$27.37	$53.43
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $13.73 / $29.81 / $160.97	Facility		$13.73	$29.81	$160.97
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $10.80 / $21.48 / $44.10	Professional		$10.80	$21.48	$44.10
United Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $7.23 / $19.76	Professional		$5.05	$7.23	$19.76
Univera Facility/Professional Facility Modifier Low / Median / High Price $13.86 / $13.86 / $44.40	Facility		$13.86	$13.86	$44.40
Univera Facility/Professional Professional Modifier Low / Median / High Price $9.84 / $13.03 / $18.05	Professional		$9.84	$13.03	$18.05