Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.52 / $34.31 / $85.66	Facility		$22.52	$34.31	$85.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.28 / $25.92 / $81.39	Professional		$18.28	$25.92	$81.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.13 / $16.13 / $16.13	Professional		$16.13	$16.13	$16.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $20.25 / $53.19	Professional		$15.49	$20.25	$53.19
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $26.56 / $26.56 / $26.56	Facility		$26.56	$26.56	$26.56
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $26.56 / $26.56 / $26.56	Professional		$26.56	$26.56	$26.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.83 / $39.83 / $135.90	Facility		$39.83	$39.83	$135.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.67 / $37.15 / $80.59	Professional		$17.67	$37.15	$80.59
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $22.30 / $36.02 / $319.00	Facility		$22.30	$36.02	$319.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $20.21 / $25.99 / $41.32	Professional		$20.21	$25.99	$41.32
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.14 / $17.14 / $17.14	Facility		$17.14	$17.14	$17.14
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.95 / $27.44 / $47.67	Professional		$16.95	$27.44	$47.67
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.42 / $25.42 / $25.42	Professional		$25.42	$25.42	$25.42
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $39.83 / $555.00 / $74,999.25	Facility		$39.83	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $20.87 / $36.95 / $72.28	Professional		$20.87	$36.95	$72.28
United Facility/Professional Professional Modifier Low / Median / High Price $20.71 / $30.67 / $65.03	Professional		$20.71	$30.67	$65.03
Univera Facility/Professional Facility Modifier Low / Median / High Price $25.40 / $25.40 / $101.89	Facility		$25.40	$25.40	$101.89
Univera Facility/Professional Professional Modifier Low / Median / High Price $17.14 / $26.70 / $50.23	Professional		$17.14	$26.70	$50.23