Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.26 / $39.24 / $99.58	Facility		$14.26	$39.24	$99.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.88 / $12.45 / $18.46	Professional		$9.88	$12.45	$18.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.85 / $3.85 / $7.14	Professional		$3.85	$3.85	$7.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.27 / $14.27 / $37.10	Facility		$14.27	$14.27	$37.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.81 / $8.63 / $32.32	Professional		$6.81	$8.63	$32.32
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $8.56 / $14.27 / $14.27	Facility		$8.56	$14.27	$14.27
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $10.42 / $14.27 / $14.27	Professional		$10.42	$14.27	$14.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.97 / $30.16 / $146.72	Facility		$9.97	$30.16	$146.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.63 / $16.52 / $84.46	Professional		$10.63	$16.52	$84.46
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $7.60 / $18.55 / $332.00	Facility		$7.60	$18.55	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.52 / $8.56 / $26.11	Professional		$6.52	$8.56	$26.11
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 / $13.56 / $17.14	Professional		$10.10	$13.56	$17.14
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $6.06 / $6.06 / $8.08	Professional		$6.06	$6.06	$8.08
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $35.79 / $75.65	Facility		$10.96	$35.79	$75.65
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.51 / $9.51 / $9.51	Professional		$9.51	$9.51	$9.51
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $13.92 / $34.90 / $192.38	Facility		$13.92	$34.90	$192.38
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $11.45 / $16.82 / $29.40	Professional		$11.45	$16.82	$29.40
United Facility/Professional Professional Modifier Low / Median / High Price $5.99 / $8.56 / $20.96	Professional		$5.99	$8.56	$20.96
Univera Facility/Professional Facility Modifier Low / Median / High Price $16.41 / $16.41 / $52.56	Facility		$16.41	$16.41	$52.56
Univera Facility/Professional Professional Modifier Low / Median / High Price $12.58 / $15.12 / $18.94	Professional		$12.58	$15.12	$18.94