Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $31.62 / $64.57	Facility		$19.05	$31.62	$64.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $25.12 / $64.57	Professional		$13.18	$25.12	$64.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $13.49 / $22.91	Professional		$12.88	$13.49	$22.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $13.80 / $30.90	Professional		$11.22	$13.80	$30.90
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Facility		$20.42	$20.42	$20.42
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Professional		$20.42	$20.42	$20.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $85.11 / $275.42	Facility		$22.91	$85.11	$275.42
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $18.20 / $18.20 / $18.20	Facility	52	$18.20	$18.20	$18.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $22.91 / $67.61	Professional		$13.80	$22.91	$67.61
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $23.99 / $66.07	Facility		$15.14	$23.99	$66.07
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $16.22 / $26.30	Professional		$13.80	$16.22	$26.30
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $13.18 / $13.18	Facility		$13.18	$13.18	$13.18
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $17.78 / $29.51	Professional		$12.30	$17.78	$29.51
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $19.50 / $257.04	Facility		$19.50	$19.50	$257.04
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $19.50	Professional		$19.50	$19.50	$19.50
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $50,118.72 / $75,857.76	Facility		$29.51	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $20.42 / $37.15	Professional		$16.98	$20.42	$37.15
United Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $18.20 / $35.48	Professional		$13.49	$18.20	$35.48
Univera Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $19.05 / $58.88	Facility		$11.48	$19.05	$58.88
Univera Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $17.78 / $44.67	Professional		$11.75	$17.78	$44.67