Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.65 / $24.12 / $85.90	Facility		$8.65	$24.12	$85.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.04 / $7.54 / $11.89	Professional		$5.04	$7.54	$11.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.15 / $4.15 / $4.15	Professional		$4.15	$4.15	$4.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.65 / $8.65 / $22.49	Facility		$8.65	$8.65	$22.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.94 / $4.90 / $15.48	Professional		$2.94	$4.90	$15.48
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $5.19 / $8.65 / $8.65	Facility		$5.19	$8.65	$8.65
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $8.65 / $8.65	Professional		$6.31	$8.65	$8.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.05 / $17.67 / $62.53	Facility		$6.05	$17.67	$62.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.51 / $9.91 / $49.59	Professional		$6.51	$9.91	$49.59
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $11.28 / $332.00	Facility		$5.50	$11.28	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3.95 / $5.19 / $15.83	Professional		$3.95	$5.19	$15.83
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.66 / $6.66 / $6.66	Facility		$6.66	$6.66	$6.66
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.66 / $8.22 / $10.40	Professional		$6.66	$8.22	$10.40
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $3.33 / $5.33 / $6.92	Professional		$3.33	$5.33	$6.92
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $13.41 / $63.75	Facility		$6.31	$13.41	$63.75
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $10.58 / $21.29 / $117.86	Facility		$10.58	$21.29	$117.86
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $6.94 / $10.52 / $17.82	Professional		$6.94	$10.52	$17.82
United Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $5.15 / $13.58	Professional		$3.63	$5.15	$13.58
Univera Facility/Professional Facility Modifier Low / Median / High Price $9.94 / $9.94 / $30.86	Facility		$9.94	$9.94	$30.86
Univera Facility/Professional Professional Modifier Low / Median / High Price $7.39 / $9.07 / $11.12	Professional		$7.39	$9.07	$11.12