Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $10.72 / $19.05	Facility		$7.08	$10.72	$19.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $16.60 / $30.90	Professional		$7.76	$16.60	$30.90
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $15.85 / $22.39 / $87.10	Professional	25	$15.85	$22.39	$87.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $16.60 / $19.05	Professional		$13.18	$16.60	$19.05
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $16.98 / $16.98 / $16.98	Professional	25	$16.98	$16.98	$16.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $19.50 / $23.44	Professional		$16.60	$19.50	$23.44
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $13.18 / $13.18	Facility		$13.18	$13.18	$13.18
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $26.30	Professional		$13.18	$13.18	$26.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $14.13 / $14.13	Facility		$14.13	$14.13	$14.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $15.85 / $25.12	Professional		$15.85	$15.85	$25.12
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $10.00 / $40.74	Facility		$10.00	$10.00	$40.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $26.30 / $37.15	Professional		$21.38	$26.30	$37.15
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $16.60 / $19.50	Facility		$16.60	$16.60	$19.50
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $19.50 / $38.90	Professional		$14.13	$19.50	$38.90
Fidelis Facility/Professional Professional Modifier 25 Low / Median / High Price $15.49 / $15.49 / $15.49	Professional	25	$15.49	$15.49	$15.49
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $20.89 / $39.81	Professional		$17.78	$20.89	$39.81
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $25.12 / $42.66	Professional		$20.89	$25.12	$42.66
United Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $91.20 / $112.20	Facility		$79.43	$91.20	$112.20
United Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $15.49 / $30.90	Professional		$7.94	$15.49	$30.90
Univera Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $9.77 / $16.60	Facility		$7.94	$9.77	$16.60
Univera Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $17.38 / $28.84	Professional		$13.18	$17.38	$28.84