Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.08 / $62.50 / $569.20	Facility		$13.08	$62.50	$569.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.58 / $23.99 / $97.62	Professional		$11.58	$23.99	$97.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.15 / $22.30 / $76.63	Professional		$13.15	$22.30	$76.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.97 / $47.46 / $69.22	Professional		$37.97	$47.46	$69.22
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $17.55 / $17.55 / $17.55	Facility		$17.55	$17.55	$17.55
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $17.55 / $72.45	Professional		$17.55	$17.55	$72.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.67 / $19.67 / $19.67	Facility		$19.67	$19.67	$19.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.99 / $44.67 / $116.68	Professional		$12.99	$44.67	$116.68
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $7.89 / $14.63 / $332.00	Facility		$7.89	$14.63	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $57.82 / $67.06 / $111.59	Professional		$57.82	$67.06	$111.59
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.47 / $61.97 / $105.64	Professional		$40.47	$61.97	$105.64
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $14.56 / $14.56 / $14.56	Professional		$14.56	$14.56	$14.56
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.83 / $247.57 / $518.40	Facility		$125.83	$247.57	$518.40
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $19.67 / $19.67 / $74,999.25	Facility		$19.67	$19.67	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $13.78 / $58.26 / $150.00	Professional		$13.78	$58.26	$150.00
United Facility/Professional Professional Modifier Low / Median / High Price $43.39 / $57.81 / $119.84	Professional		$43.39	$57.81	$119.84
Univera Facility/Professional Facility Modifier Low / Median / High Price $13.21 / $13.21 / $16.55	Facility		$13.21	$13.21	$16.55
Univera Facility/Professional Professional Modifier Low / Median / High Price $40.47 / $54.63 / $91.74	Professional		$40.47	$54.63	$91.74