Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.47 / $56.76 / $112.66	Facility		$20.47	$56.76	$112.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.65 / $20.48 / $28.32	Professional		$15.65	$20.48	$28.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.50 / $11.56 / $12.04	Professional		$6.50	$11.56	$12.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.08 / $24.08 / $62.61	Facility		$24.08	$24.08	$62.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.89 / $14.68 / $55.04	Professional		$11.89	$14.68	$55.04
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $24.08 / $24.08	Facility		$14.45	$24.08	$24.08
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $17.57 / $24.08 / $24.08	Professional		$17.57	$24.08	$24.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.82 / $48.76 / $62.49	Facility		$16.82	$48.76	$62.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $27.03 / $116.07	Professional		$18.00	$27.03	$116.07
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $15.00 / $31.30 / $332.00	Facility		$15.00	$31.30	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $14.45 / $44.07	Professional		$11.00	$14.45	$44.07
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.67 / $18.67 / $18.67	Facility		$18.67	$18.67	$18.67
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.67 / $22.40 / $27.04	Professional		$18.67	$22.40	$27.04
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $14.94 / $14.94 / $15.68	Professional		$14.94	$14.94	$15.68
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.93 / $50.57 / $106.76	Facility		$18.93	$50.57	$106.76
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.88 / $16.04 / $16.04	Professional		$15.88	$16.04	$16.04
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $19.91 / $58.75 / $254.50	Facility		$19.91	$58.75	$254.50
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $19.17 / $28.40 / $49.60	Professional		$19.17	$28.40	$49.60
United Facility/Professional Professional Modifier Low / Median / High Price $10.11 / $14.45 / $36.49	Professional		$10.11	$14.45	$36.49
Univera Facility/Professional Facility Modifier Low / Median / High Price $27.69 / $27.69 / $61.02	Facility		$27.69	$27.69	$61.02
Univera Facility/Professional Professional Modifier Low / Median / High Price $17.34 / $23.85 / $28.94	Professional		$17.34	$23.85	$28.94