Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.08 / $30.64 / $85.77	Facility		$11.08	$30.64	$85.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.52 / $11.60 / $14.17	Professional		$9.52	$11.60	$14.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.48 / $3.48 / $6.18	Professional		$3.48	$3.48	$6.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $12.88 / $33.49	Facility		$12.88	$12.88	$33.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $7.72 / $27.38	Professional		$5.89	$7.72	$27.38
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $7.73 / $12.88 / $12.88	Facility		$7.73	$12.88	$12.88
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $9.40 / $12.88 / $12.88	Professional		$9.40	$12.88	$12.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.00 / $27.20 / $131.80	Facility		$9.00	$27.20	$131.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.53 / $14.61 / $82.64	Professional		$9.53	$14.61	$82.64
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $6.50 / $16.73 / $332.00	Facility		$6.50	$16.73	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $7.73 / $23.57	Professional		$5.89	$7.73	$23.57
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $12.88 / $12.88	Facility		$12.88	$12.88	$12.88
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.66 / $12.88 / $16.62	Professional		$8.66	$12.88	$16.62
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $10.30 / $10.30 / $10.82	Professional		$10.30	$10.30	$10.82
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.14 / $25.13 / $57.37	Facility		$10.14	$25.13	$57.37
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.59 / $8.59 / $8.59	Professional		$8.59	$8.59	$8.59
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $13.73 / $31.50 / $172.81	Facility		$13.73	$31.50	$172.81
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $10.28 / $16.21 / $29.20	Professional		$10.28	$16.21	$29.20
United Facility/Professional Professional Modifier Low / Median / High Price $5.41 / $7.73 / $20.22	Professional		$5.41	$7.73	$20.22
Univera Facility/Professional Facility Modifier Low / Median / High Price $14.81 / $14.81 / $34.28	Facility		$14.81	$14.81	$34.28
Univera Facility/Professional Professional Modifier Low / Median / High Price $8.41 / $12.37 / $25.50	Professional		$8.41	$12.37	$25.50