Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.98 / $46.73 / $96.85	Facility		$17.98	$46.73	$96.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.22 / $16.67 / $25.70	Professional		$10.22	$16.67	$25.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.27 / $9.27 / $9.27	Professional		$9.27	$9.27	$9.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.30 / $19.30 / $50.21	Facility		$19.30	$19.30	$50.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.34 / $11.31 / $42.41	Professional		$8.34	$11.31	$42.41
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $19.30 / $19.30 / $19.30	Facility		$19.30	$19.30	$19.30
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $14.10 / $19.30 / $19.30	Professional		$14.10	$19.30	$19.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.50 / $38.86 / $49.80	Facility		$13.50	$38.86	$49.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.16 / $10.16 / $27.66	Professional		$10.16	$10.16	$27.66
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $19.30 / $31.86 / $332.00	Facility		$19.30	$31.86	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.72 / $11.49 / $36.11	Professional		$7.72	$11.49	$36.11
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.41 / $18.34 / $21.85	Professional		$16.41	$18.34	$21.85
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $4.72 / $4.72 / $4.72	Professional		$4.72	$4.72	$4.72
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.60 / $31.64 / $69.68	Facility		$19.60	$31.64	$69.68
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.60 / $19.80 / $19.80	Professional		$19.60	$19.80	$19.80
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $23.47 / $40.79 / $67.47	Facility		$23.47	$40.79	$67.47
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $10.16 / $22.13 / $39.93	Professional		$10.16	$22.13	$39.93
United Facility/Professional Professional Modifier Low / Median / High Price $8.11 / $11.59 / $29.93	Professional		$8.11	$11.59	$29.93
Univera Facility/Professional Facility Modifier Low / Median / High Price $21.67 / $21.67 / $21.67	Facility		$21.67	$21.67	$21.67
Univera Facility/Professional Professional Modifier Low / Median / High Price $16.41 / $19.39 / $23.71	Professional		$16.41	$19.39	$23.71