Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.18 / $46.83 / $125.02	Facility		$16.18	$46.83	$125.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.64 / $14.85 / $30.88	Professional		$12.64	$14.85	$30.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.59 / $4.59 / $4.59	Professional		$4.59	$4.59	$4.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.03 / $17.03 / $44.28	Facility		$17.03	$17.03	$44.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.53 / $10.21 / $36.18	Professional		$7.53	$10.21	$36.18
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $10.22 / $17.03 / $17.03	Facility		$10.22	$17.03	$17.03
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $12.43 / $17.03 / $17.03	Professional		$12.43	$17.03	$17.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.90 / $35.94 / $173.72	Facility		$11.90	$35.94	$173.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.58 / $19.82 / $108.34	Professional		$12.58	$19.82	$108.34
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $8.60 / $22.14 / $332.00	Facility		$8.60	$22.14	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.78 / $10.22 / $31.16	Professional		$7.78	$10.22	$31.16
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.03 / $17.03 / $17.03	Facility		$17.03	$17.03	$17.03
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.09 / $17.03 / $20.47	Professional		$9.09	$17.03	$20.47
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $13.62 / $13.62 / $13.62	Professional		$13.62	$13.62	$13.62
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.61 / $24.63 / $87.55	Facility		$11.61	$24.63	$87.55
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.24 / $11.24 / $11.35	Professional		$11.24	$11.24	$11.35
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $16.61 / $41.72 / $227.76	Facility		$16.61	$41.72	$227.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $13.66 / $24.67 / $35.90	Professional		$13.66	$24.67	$35.90
United Facility/Professional Professional Modifier Low / Median / High Price $7.15 / $10.22 / $25.01	Professional		$7.15	$10.22	$25.01
Univera Facility/Professional Facility Modifier Low / Median / High Price $19.57 / $19.57 / $35.95	Facility		$19.57	$19.57	$35.95
Univera Facility/Professional Professional Modifier Low / Median / High Price $8.82 / $16.35 / $21.97	Professional		$8.82	$16.35	$21.97