Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $29.51 / $41.69	Facility		$15.14	$29.51	$41.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $22.91 / $67.61	Professional		$12.02	$22.91	$67.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $17.78	Professional		$17.78	$17.78	$17.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $74.13	Facility		$37.15	$37.15	$74.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $23.99 / $64.57	Professional		$23.99	$23.99	$64.57
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $30.20 / $30.20	Facility		$28.18	$30.20	$30.20
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $57.54 / $50,118.72	Facility		$23.99	$57.54	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $36.31	Professional		$17.78	$17.78	$36.31
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $61.66 / $141.25	Facility		$37.15	$61.66	$141.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $38.90 / $70.79	Professional		$22.91	$38.90	$70.79
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $27.54 / $28.84	Facility		$27.54	$27.54	$28.84
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $22.39 / $27.54	Professional		$21.38	$22.39	$27.54
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Professional		$29.51	$29.51	$29.51
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $50,118.72 / $75,857.76	Facility		$58.88	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $35.48 / $35.48	Professional		$30.20	$35.48	$35.48
United Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $23.99 / $27.54	Facility		$14.79	$23.99	$27.54
United Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $19.50 / $31.62	Professional		$12.02	$19.50	$31.62
Univera Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $27.54 / $28.84	Facility		$21.38	$27.54	$28.84
Univera Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $22.39 / $27.54	Professional		$21.38	$22.39	$27.54