Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $20.42 / $8,912.51	Facility		$12.88	$20.42	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.88 / $3,548.13	Professional		$12.02	$12.88	$3,548.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $13.49	Professional		$12.88	$12.88	$13.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $12.88 / $13.49	Facility		$12.88	$12.88	$13.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $12.88	Professional		$12.88	$12.88	$12.88
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $19.95	Facility		$19.05	$19.05	$19.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Professional		$19.05	$19.05	$19.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $85.11	Facility		$12.02	$12.02	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $14.45	Professional		$12.88	$12.88	$14.45
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $15.85 / $43.65	Facility		$12.30	$15.85	$43.65
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $14.13 / $18.20	Professional		$13.49	$14.13	$18.20
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $13.49 / $13.80	Facility		$13.49	$13.49	$13.80
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.80 / $13.80	Professional		$13.49	$13.80	$13.80
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $32.36	Facility		$25.12	$25.12	$32.36
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $15.49 / $25.12	Professional		$13.18	$15.49	$25.12
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $53.70 / $53,703.18	Facility		$14.45	$53.70	$53,703.18
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $14.13	Professional		$14.13	$14.13	$14.13
United Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $12.88 / $12.88	Facility		$12.88	$12.88	$12.88
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $13.49 / $16.98	Professional		$12.30	$13.49	$16.98
Univera Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $13.49 / $15.49	Facility		$13.49	$13.49	$15.49
Univera Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.80 / $13.80	Professional		$13.49	$13.80	$13.80