Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.99 / $12.05 / $89.64	Facility		$1.99	$12.05	$89.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $2.31 / $39.60	Professional		$2.29	$2.31	$39.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $1.95 / $2.34	Professional		$1.95	$1.95	$2.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $2.29 / $4.24	Professional		$2.29	$2.29	$4.24
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1.86 / $1.86 / $1.95	Facility		$1.86	$1.86	$1.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1.86 / $1.86 / $1.86	Professional		$1.86	$1.86	$1.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $2.16 / $85.00	Facility		$2.00	$2.16	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $2.29 / $3.07	Professional		$2.29	$2.29	$3.07
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2.48 / $3.56 / $332.00	Facility		$2.48	$3.56	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.38 / $2.49 / $3.44	Professional		$2.38	$2.49	$3.44
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.29 / $2.29 / $11.40	Facility		$2.29	$2.29	$11.40
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $11.40 / $11.40	Professional		$2.29	$11.40	$11.40
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $2.29 / $2.29	Professional		$2.29	$2.29	$2.29
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.12 / $4.45 / $4.88	Facility		$1.12	$4.45	$4.88
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.21 / $5.99 / $6.69	Professional		$2.21	$5.99	$6.69
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $2.16 / $85.00	Facility		$2.00	$2.16	$85.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $2.29 / $36.00	Professional		$2.29	$2.29	$36.00
United Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $2.43 / $10.54	Professional		$2.29	$2.43	$10.54
Univera Facility/Professional Facility Modifier Low / Median / High Price $11.40 / $11.40 / $11.40	Facility		$11.40	$11.40	$11.40
Univera Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $11.40 / $11.40	Professional		$2.29	$11.40	$11.40