Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.94 / $31.68 / $85.67	Facility		$10.94	$31.68	$85.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.52 / $11.62 / $23.36	Professional		$9.52	$11.62	$23.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.48 / $5.80 / $6.18	Professional		$3.48	$5.80	$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 $3.27 / $6.36 / $19.64	Professional		$3.27	$6.36	$19.64
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 / $62.53	Facility		$9.00	$27.20	$62.53
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 $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 / $10.95 / $15.30	Professional		$8.11	$10.95	$15.30
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $4.87 / $4.87 / $6.49	Professional		$4.87	$4.87	$6.49
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.12 / $32.20 / $82.95	Facility		$11.12	$32.20	$82.95
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 $5.48 / $10.52 / $26.53	Professional		$5.48	$10.52	$26.53
United Facility/Professional Professional Modifier Low / Median / High Price $5.15 / $6.18 / $18.92	Professional		$5.15	$6.18	$18.92
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 / $17.72	Professional		$8.41	$12.37	$17.72