Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.44 / $44.70 / $95.31	Facility		$16.44	$44.70	$95.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.32 / $17.29 / $33.74	Professional		$14.32	$17.29	$33.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.22 / $5.22 / $9.28	Professional		$5.22	$5.22	$9.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.35 / $19.35 / $50.31	Facility		$19.35	$19.35	$50.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.24 / $11.70 / $43.69	Professional		$9.24	$11.70	$43.69
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $11.61 / $19.35 / $19.35	Facility		$11.61	$19.35	$19.35
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $19.35 / $19.35	Professional		$14.13	$19.35	$19.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.52 / $40.89 / $197.67	Facility		$13.52	$40.89	$197.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.32 / $21.92 / $124.85	Professional		$14.32	$21.92	$124.85
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $18.00 / $29.03 / $332.00	Facility		$18.00	$29.03	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $8.84 / $11.61 / $35.40	Professional		$8.84	$11.61	$35.40
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.65 / $14.65 / $14.65	Facility		$14.65	$14.65	$14.65
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.65 / $18.59 / $24.39	Professional		$14.65	$18.59	$24.39
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $11.72 / $11.72 / $12.31	Professional		$11.72	$11.72	$12.31
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.24 / $40.64 / $86.20	Facility		$15.24	$40.64	$86.20
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.90 / $12.90 / $12.90	Professional		$12.90	$12.90	$12.90
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $18.87 / $46.82 / $254.50	Facility		$18.87	$46.82	$254.50
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $15.42 / $25.41 / $39.86	Professional		$15.42	$25.41	$39.86
United Facility/Professional Facility Modifier Low / Median / High Price $12.58 / $13.29 / $14.61	Facility		$12.58	$13.29	$14.61
United Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $11.87 / $29.04	Professional		$8.13	$11.87	$29.04
Univera Facility/Professional Facility Modifier Low / Median / High Price $22.25 / $22.25 / $71.33	Facility		$22.25	$22.25	$71.33
Univera Facility/Professional Professional Modifier Low / Median / High Price $17.05 / $20.93 / $25.70	Professional		$17.05	$20.93	$25.70