Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.93 / $56.79 / $113.72	Facility		$4.93	$56.79	$113.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.51 / $8.18 / $31.10	Professional		$4.51	$8.18	$31.10
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $5.51 / $6.16 / $34.71	Professional	25	$5.51	$6.16	$34.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.09 / $4.33 / $4.92	Professional		$4.09	$4.33	$4.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $114.00 / $241.00	Facility		$85.00	$114.00	$241.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.53 / $4.62 / $9.43	Professional		$3.53	$4.62	$9.43
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $6.58 / $6.58 / $6.58	Facility		$6.58	$6.58	$6.58
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $6.58 / $6.58 / $6.58	Professional		$6.58	$6.58	$6.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.22 / $5.22 / $35.10	Facility		$5.22	$5.22	$35.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.34 / $5.00 / $10.45	Professional		$3.34	$5.00	$10.45
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $6.00 / $6.00 / $319.00	Facility		$6.00	$6.00	$319.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.09 / $7.21 / $9.18	Professional		$5.09	$7.21	$9.18
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.68 / $4.23 / $4.86	Facility		$2.68	$4.23	$4.86
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.70 / $5.62 / $9.59	Professional		$3.70	$5.62	$9.59
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $5.78 / $5.78 / $6.51	Professional		$5.78	$5.78	$6.51
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.10 / $51.10 / $80.75	Facility		$51.10	$51.10	$80.75
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.84 / $6.93 / $10.97	Professional		$4.84	$6.93	$10.97
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $5.22 / $5.22 / $555.00	Facility		$5.22	$5.22	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $5.18 / $12.88	Professional		$4.00	$5.18	$12.88
Optum Facility/Professional Professional Modifier Low / Median / High Price $6.02 / $6.02 / $6.02	Professional		$6.02	$6.02	$6.02
United Facility/Professional Professional Modifier Low / Median / High Price $4.29 / $5.93 / $14.63	Professional		$4.29	$5.93	$14.63
Univera Facility/Professional Facility Modifier Low / Median / High Price $2.68 / $4.23 / $5.44	Facility		$2.68	$4.23	$5.44
Univera Facility/Professional Professional Modifier Low / Median / High Price $4.23 / $5.73 / $11.49	Professional		$4.23	$5.73	$11.49