Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.67 / $32.15 / $121.43	Facility		$16.67	$32.15	$121.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.13 / $22.80 / $76.00	Professional		$13.13	$22.80	$76.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $20.07 / $23.02 / $50.82	Professional	25	$20.07	$23.02	$50.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.98 / $13.75 / $24.99	Professional		$11.98	$13.75	$24.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.39 / $18.00 / $42.32	Professional		$13.39	$18.00	$42.32
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $20.71 / $20.71 / $20.71	Facility		$20.71	$20.71	$20.71
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $20.71 / $20.71 / $20.71	Professional		$20.71	$20.71	$20.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.86 / $25.46 / $89.64	Facility		$24.86	$25.46	$89.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.94 / $29.11 / $63.40	Professional		$15.94	$29.11	$63.40
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $17.34 / $32.20 / $319.00	Facility		$17.34	$32.20	$319.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $16.68 / $22.14 / $35.00	Professional		$16.68	$22.14	$35.00
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.15 / $15.15 / $15.15	Facility		$15.15	$15.15	$15.15
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $16.48 / $26.29	Professional		$13.18	$16.48	$26.29
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $11.21 / $15.15 / $26.53	Professional		$11.21	$15.15	$26.53
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.66 / $25.08 / $64.61	Facility		$21.66	$25.08	$64.61
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.51 / $34.22 / $41.81	Professional		$22.51	$34.22	$41.81
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $24.86 / $89.64 / $597.00	Facility		$24.86	$89.64	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $26.03 / $59.10	Professional		$16.98	$26.03	$59.10
United Facility/Professional Professional Modifier Low / Median / High Price $12.67 / $19.84 / $41.99	Professional		$12.67	$19.84	$41.99
Univera Facility/Professional Facility Modifier Low / Median / High Price $19.75 / $19.75 / $94.75	Facility		$19.75	$19.75	$94.75
Univera Facility/Professional Professional Modifier Low / Median / High Price $13.34 / $19.28 / $36.47	Professional		$13.34	$19.28	$36.47