Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.00 / $35.63 / $67.39	Facility		$13.00	$35.63	$67.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.36 / $13.76 / $15.29	Professional		$11.36	$13.76	$15.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.13 / $4.13 / $7.34	Professional		$4.13	$4.13	$7.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.29 / $15.29 / $39.75	Facility		$15.29	$15.29	$39.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.77 / $9.17 / $32.51	Professional		$6.77	$9.17	$32.51
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $9.17 / $15.29 / $15.29	Facility		$9.17	$15.29	$15.29
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $11.16 / $15.29 / $15.29	Professional		$11.16	$15.29	$15.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.68 / $32.31 / $155.75	Facility		$10.68	$32.31	$155.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.28 / $17.17 / $88.13	Professional		$11.28	$17.17	$88.13
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $8.10 / $19.88 / $332.00	Facility		$8.10	$19.88	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.99 / $9.17 / $27.98	Professional		$6.99	$9.17	$27.98
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.29 / $15.29 / $15.29	Facility		$15.29	$15.29	$15.29
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.09 / $15.29 / $18.38	Professional		$9.09	$15.29	$18.38
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.31 / $26.63 / $71.41	Facility		$12.31	$26.63	$71.41
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.09 / $10.19 / $10.19	Professional		$10.09	$10.19	$10.19
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $14.91 / $37.47 / $204.21	Facility		$14.91	$37.47	$204.21
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $12.26 / $21.03 / $33.79	Professional		$12.26	$21.03	$33.79
United Facility/Professional Professional Modifier Low / Median / High Price $5.41 / $8.41 / $22.46	Professional		$5.41	$8.41	$22.46
Univera Facility/Professional Facility Modifier Low / Median / High Price $17.57 / $17.57 / $35.95	Facility		$17.57	$17.57	$35.95
Univera Facility/Professional Professional Modifier Low / Median / High Price $8.82 / $14.69 / $19.72	Professional		$8.82	$14.69	$19.72