Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.67 / $33.92 / $80.03	Facility		$13.67	$33.92	$80.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.64 / $12.56 / $17.21	Professional		$10.64	$12.56	$17.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $3.89 / $6.91	Professional		$3.89	$3.89	$6.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.39 / $14.39 / $37.40	Facility		$14.39	$14.39	$37.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.37 / $8.63 / $30.59	Professional		$6.37	$8.63	$30.59
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $8.63 / $14.39 / $14.39	Facility		$8.63	$14.39	$14.39
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $10.50 / $14.39 / $14.39	Professional		$10.50	$14.39	$14.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.06 / $28.98 / $146.72	Facility		$10.06	$28.98	$146.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.63 / $16.07 / $91.81	Professional		$10.63	$16.07	$91.81
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $7.00 / $18.71 / $332.00	Facility		$7.00	$18.71	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.58 / $8.63 / $26.33	Professional		$6.58	$8.63	$26.33
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.39 / $14.39 / $14.39	Facility		$14.39	$14.39	$14.39
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $14.39 / $17.30	Professional		$8.32	$14.39	$17.30
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $11.51 / $11.51 / $12.09	Professional		$11.51	$11.51	$12.09
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.32 / $30.60 / $64.09	Facility		$11.32	$30.60	$64.09
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.58 / $9.58 / $9.58	Professional		$9.58	$9.58	$9.58
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $14.03 / $34.90 / $192.38	Facility		$14.03	$34.90	$192.38
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $11.47 / $17.86 / $29.64	Professional		$11.47	$17.86	$29.64
United Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $8.63 / $21.14	Professional		$5.25	$8.63	$21.14
Univera Facility/Professional Facility Modifier Low / Median / High Price $16.55 / $16.55 / $34.79	Facility		$16.55	$16.55	$34.79
Univera Facility/Professional Professional Modifier Low / Median / High Price $7.72 / $13.82 / $18.55	Professional		$7.72	$13.82	$18.55