Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.00 / $16.97 / $26.84	Facility		$12.00	$16.97	$26.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.81 / $13.19 / $18.50	Professional		$5.81	$13.19	$18.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.14 / $12.32 / $15.05	Professional		$9.14	$12.32	$15.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $260.00 / $275.00 / $306.00	Facility		$260.00	$275.00	$306.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $10.81 / $17.00	Professional		$0.80	$10.81	$17.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $18.78 / $18.78 / $19.26	Facility		$18.78	$18.78	$19.26
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $18.78 / $19.26 / $21.17	Professional		$18.78	$19.26	$21.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.00 / $21.18 / $21.18	Facility		$3.00	$21.18	$21.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.40 / $13.00 / $27.09	Professional		$3.40	$13.00	$27.09
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $15.00 / $15.00 / $319.00	Facility		$15.00	$15.00	$319.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $15.15 / $21.17 / $30.34	Professional		$15.15	$21.17	$30.34
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.15 / $5.25 / $5.94	Facility		$3.15	$5.25	$5.94
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $14.59 / $26.53	Professional		$9.02	$14.59	$26.53
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $3.36 / $3.36 / $14.16	Professional		$3.36	$3.36	$14.16
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.53 / $12.53 / $12.80	Facility		$12.53	$12.53	$12.80
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.29 / $13.59 / $15.72	Professional		$13.29	$13.59	$15.72
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $3.00 / $21.18 / $555.00	Facility		$3.00	$21.18	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $13.00 / $27.18	Professional		$3.00	$13.00	$27.18
Optum Facility/Professional Professional Modifier Low / Median / High Price $4.75 / $14.49 / $19.23	Professional		$4.75	$14.49	$19.23
United Facility/Professional Professional Modifier Low / Median / High Price $5.98 / $15.28 / $31.88	Professional		$5.98	$15.28	$31.88
Univera Facility/Professional Facility Modifier Low / Median / High Price $5.00 / $5.50 / $16.01	Facility		$5.00	$5.50	$16.01
Univera Facility/Professional Professional Modifier Low / Median / High Price $12.23 / $16.18 / $33.84	Professional		$12.23	$16.18	$33.84