Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.98 / $52.05 / $119.27	Facility		$18.98	$52.05	$119.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.59 / $19.47 / $26.10	Professional		$16.59	$19.47	$26.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $10.72 / $10.72	Professional		$10.72	$10.72	$10.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.42 / $22.34 / $58.08	Facility		$15.42	$22.34	$58.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.04 / $13.62 / $54.66	Professional		$11.04	$13.62	$54.66
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $13.40 / $22.34 / $25.93	Facility		$13.40	$22.34	$25.93
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $16.30 / $22.34 / $25.93	Professional		$16.30	$22.34	$25.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.61 / $47.19 / $230.64	Facility		$15.61	$47.19	$230.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.18 / $31.08 / $143.22	Professional		$17.18	$31.08	$143.22
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $21.10 / $33.76 / $332.00	Facility		$21.10	$33.76	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $10.21 / $13.40 / $40.88	Professional		$10.21	$13.40	$40.88
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.34 / $22.34 / $22.34	Facility		$22.34	$22.34	$22.34
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.69 / $22.34 / $29.65	Professional		$19.69	$22.34	$29.65
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $11.17 / $11.17 / $11.17	Professional		$11.17	$11.17	$11.17
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.57 / $44.85 / $131.60	Facility		$17.57	$44.85	$131.60
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.89 / $14.89 / $14.89	Professional		$14.89	$14.89	$14.89
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $20.47 / $54.48 / $266.77	Facility		$20.47	$54.48	$266.77
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $16.20 / $25.61 / $46.02	Professional		$16.20	$25.61	$46.02
United Facility/Professional Professional Modifier Low / Median / High Price $9.38 / $13.40 / $36.39	Professional		$9.38	$13.40	$36.39
Univera Facility/Professional Facility Modifier Low / Median / High Price $25.69 / $25.69 / $82.30	Facility		$25.69	$25.69	$82.30
Univera Facility/Professional Professional Modifier Low / Median / High Price $19.69 / $25.09 / $34.01	Professional		$19.69	$25.09	$34.01