Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.75 / $39.35 / $75.30	Facility		$16.75	$39.35	$75.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.35 / $16.05 / $17.98	Professional		$13.35	$16.05	$17.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.63 / $8.63 / $8.63	Professional		$8.63	$8.63	$8.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.98 / $17.98 / $46.75	Facility		$17.98	$17.98	$46.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.95 / $10.78 / $40.56	Professional		$7.95	$10.78	$40.56
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $10.79 / $17.98 / $17.98	Facility		$10.79	$17.98	$17.98
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $13.13 / $17.98 / $17.98	Professional		$13.13	$17.98	$17.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.57 / $36.74 / $185.69	Facility		$12.57	$36.74	$185.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.45 / $25.78 / $86.66	Professional		$13.45	$25.78	$86.66
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $5.00 / $23.37 / $332.00	Facility		$5.00	$23.37	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.19 / $10.70 / $32.90	Professional		$7.19	$10.70	$32.90
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.91 / $5.91 / $5.91	Facility		$5.91	$5.91	$5.91
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.91 / $17.07 / $21.61	Professional		$5.91	$17.07	$21.61
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $2.96 / $2.96 / $14.38	Professional		$2.96	$2.96	$14.38
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.47 / $30.10 / $61.97	Facility		$14.47	$30.10	$61.97
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $17.54 / $44.27 / $243.46	Facility		$17.54	$44.27	$243.46
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $14.42 / $25.11 / $37.04	Professional		$14.42	$25.11	$37.04
United Facility/Professional Professional Modifier Low / Median / High Price $7.55 / $10.79 / $28.23	Professional		$7.55	$10.79	$28.23
Univera Facility/Professional Facility Modifier Low / Median / High Price $20.68 / $20.68 / $48.78	Facility		$20.68	$20.68	$48.78
Univera Facility/Professional Professional Modifier Low / Median / High Price $11.41 / $18.85 / $23.85	Professional		$11.41	$18.85	$23.85