Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.64 / $60.30 / $516.36	Facility		$15.64	$60.30	$516.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.95 / $16.51 / $61.09	Professional		$3.95	$16.51	$61.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.95 / $19.93 / $22.52	Professional		$16.95	$19.93	$22.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.03 / $16.54 / $25.91	Professional		$0.03	$16.54	$25.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.82 / $18.82 / $18.82	Facility		$18.82	$18.82	$18.82
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $1.83 / $1.83 / $1.83	Facility	AS	$1.83	$1.83	$1.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.28 / $14.28 / $14.28	Professional		$14.28	$14.28	$14.28
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $17.64 / $34.94 / $332.00	Facility		$17.64	$34.94	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $17.64 / $25.44 / $37.42	Professional		$17.64	$25.44	$37.42
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.51 / $15.14 / $16.18	Facility		$13.51	$15.14	$16.18
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.43 / $16.96 / $24.50	Professional		$12.43	$16.96	$24.50
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $12.48 / $18.21 / $19.42	Professional		$12.48	$18.21	$19.42
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.77 / $34.00 / $35.70	Professional		$17.77	$34.00	$35.70
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $18.82 / $18.82 / $74,999.25	Facility		$18.82	$18.82	$74,999.25
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $1.83 / $1.83 / $1.83	Facility	AS	$1.83	$1.83	$1.83
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $13.46 / $14.28 / $36.96	Professional		$13.46	$14.28	$36.96
Optum Facility/Professional Professional Modifier Low / Median / High Price $12.22 / $15.00 / $15.00	Professional		$12.22	$15.00	$15.00
United Facility/Professional Professional Modifier Low / Median / High Price $12.40 / $18.93 / $39.53	Professional		$12.40	$18.93	$39.53
Univera Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $17.82 / $17.82	Facility		$15.14	$17.82	$17.82
Univera Facility/Professional Professional Modifier Low / Median / High Price $14.62 / $17.82 / $30.60	Professional		$14.62	$17.82	$30.60