Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.53 / $28.94 / $77.70	Facility		$10.53	$28.94	$77.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.19 / $11.07 / $14.47	Professional		$9.19	$11.07	$14.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.35 / $3.35 / $5.95	Professional		$3.35	$3.35	$5.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.39 / $12.39 / $32.21	Facility		$12.39	$12.39	$32.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.91 / $7.49 / $28.31	Professional		$5.91	$7.49	$28.31
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $7.43 / $12.39 / $12.39	Facility		$7.43	$12.39	$12.39
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $9.03 / $12.39 / $12.39	Professional		$9.03	$12.39	$12.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.66 / $26.16 / $125.82	Facility		$8.66	$26.16	$125.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.11 / $11.80 / $80.78	Professional		$9.11	$11.80	$80.78
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $10.10 / $17.47 / $332.00	Facility		$10.10	$17.47	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.66 / $7.43 / $22.67	Professional		$5.66	$7.43	$22.67
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.10 / $10.10 / $10.10	Facility		$10.10	$10.10	$10.10
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.10 / $11.89 / $14.89	Professional		$10.10	$11.89	$14.89
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $6.06 / $6.06 / $6.06	Professional		$6.06	$6.06	$6.06
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.77 / $24.00 / $47.37	Facility		$8.77	$24.00	$47.37
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $13.73 / $30.64 / $164.96	Facility		$13.73	$30.64	$164.96
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $9.94 / $14.55 / $25.52	Professional		$9.94	$14.55	$25.52
United Facility/Professional Professional Modifier Low / Median / High Price $5.20 / $7.43 / $20.23	Professional		$5.20	$7.43	$20.23
Univera Facility/Professional Facility Modifier Low / Median / High Price $14.25 / $14.25 / $45.63	Facility		$14.25	$14.25	$45.63
Univera Facility/Professional Professional Modifier Low / Median / High Price $10.92 / $12.99 / $16.44	Professional		$10.92	$12.99	$16.44