Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.27 / $16.63 / $27.05	Facility		$10.27	$16.63	$27.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.27 / $13.59 / $31.14	Professional		$10.27	$13.59	$31.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.45 / $14.76 / $25.92	Professional		$13.45	$14.76	$25.92
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $24.86 / $24.86 / $24.86	Professional	25	$24.86	$24.86	$24.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.35 / $14.53 / $28.03	Professional		$12.35	$14.53	$28.03
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $18.03 / $18.03 / $18.03	Facility		$18.03	$18.03	$18.03
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $18.03 / $18.03 / $20.89	Professional		$18.03	$18.03	$20.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Facility		$16.98	$16.98	$16.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.77 / $22.27 / $47.09	Professional		$11.77	$22.27	$47.09
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $12.99 / $19.70 / $332.00	Facility		$12.99	$19.70	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $15.16 / $20.43 / $30.58	Professional		$15.16	$20.43	$30.58
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.18 / $14.09 / $16.76	Facility		$12.18	$14.09	$16.76
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.18 / $15.78 / $30.14	Professional		$12.18	$15.78	$30.14
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $16.80 / $18.52	Professional		$16.80	$16.80	$18.52
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.57 / $24.19 / $24.46	Professional		$20.57	$24.19	$24.46
Highmark BCBS Facility/Professional Professional Modifier 25 Low / Median / High Price $24.19 / $24.19 / $24.19	Professional	25	$24.19	$24.19	$24.19
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $17.89	Facility		$16.98	$16.98	$17.89
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $13.28 / $21.17 / $39.15	Professional		$13.28	$21.17	$39.15
United Facility/Professional Professional Modifier Low / Median / High Price $11.46 / $16.98 / $33.68	Professional		$11.46	$16.98	$33.68
Univera Facility/Professional Facility Modifier Low / Median / High Price $12.28 / $14.09 / $20.14	Facility		$12.28	$14.09	$20.14
Univera Facility/Professional Professional Modifier Low / Median / High Price $12.18 / $16.48 / $32.46	Professional		$12.18	$16.48	$32.46