Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.08 / $30.67 / $84.71	Facility		$11.08	$30.67	$84.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $11.65 / $15.60	Professional		$6.92	$11.65	$15.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.52 / $5.87 / $6.26	Professional		$3.52	$5.87	$6.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.05 / $13.05 / $33.93	Facility		$13.05	$13.05	$33.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.21 / $6.44 / $19.80	Professional		$3.21	$6.44	$19.80
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $7.83 / $13.05 / $13.05	Facility		$7.83	$13.05	$13.05
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $9.52 / $13.05 / $13.05	Professional		$9.52	$13.05	$13.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.11 / $27.56 / $62.53	Facility		$9.11	$27.56	$62.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.76 / $14.61 / $84.46	Professional		$9.76	$14.61	$84.46
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $6.50 / $16.97 / $332.00	Facility		$6.50	$16.97	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.96 / $7.18 / $23.88	Professional		$5.96	$7.18	$23.88
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.11 / $8.11 / $8.11	Facility		$8.11	$8.11	$8.11
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.11 / $11.09 / $15.26	Professional		$8.11	$11.09	$15.26
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $6.49 / $6.49 / $6.81	Professional		$6.49	$6.49	$6.81
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.44 / $25.53 / $58.13	Facility		$9.44	$25.53	$58.13
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.69 / $8.69 / $8.69	Professional		$8.69	$8.69	$8.69
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $13.73 / $31.50 / $176.68	Facility		$13.73	$31.50	$176.68
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $5.48 / $10.52 / $26.88	Professional		$5.48	$10.52	$26.88
United Facility/Professional Professional Modifier Low / Median / High Price $4.76 / $5.87 / $19.17	Professional		$4.76	$5.87	$19.17
Univera Facility/Professional Facility Modifier Low / Median / High Price $15.01 / $15.01 / $34.28	Facility		$15.01	$15.01	$34.28
Univera Facility/Professional Professional Modifier Low / Median / High Price $8.41 / $12.53 / $15.69	Professional		$8.41	$12.53	$15.69