Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.10 / $31.66 / $99.23	Facility		$0.10	$31.66	$99.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.10 / $48.27	Professional		$0.10	$0.10	$48.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $11.00 / $11.00	Professional		$11.00	$11.00	$11.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.10 / $2.78	Professional		$0.10	$0.10	$2.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.10 / $0.23 / $85.00	Facility		$0.10	$0.23	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.10 / $0.14	Professional		$0.10	$0.10	$0.14
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $0.11 / $0.17 / $332.00	Facility		$0.11	$0.17	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.11 / $0.14	Professional		$0.11	$0.11	$0.14
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.10 / $1.75 / $1.75	Facility		$0.10	$1.75	$1.75
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.10 / $0.10	Professional		$0.10	$0.10	$0.10
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.11 / $0.11	Professional		$0.11	$0.11	$0.11
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.12 / $0.47 / $0.91	Facility		$0.12	$0.47	$0.91
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.18 / $0.18 / $3.62	Professional		$0.18	$0.18	$3.62
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $0.10 / $0.36 / $85.00	Facility		$0.10	$0.36	$85.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.10 / $0.46	Professional		$0.10	$0.10	$0.46
United Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.11 / $0.15	Professional		$0.10	$0.11	$0.15
Univera Facility/Professional Facility Modifier Low / Median / High Price $0.10 / $0.10 / $0.10	Facility		$0.10	$0.10	$0.10
Univera Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.10 / $0.10	Professional		$0.10	$0.10	$0.10