Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.17 / $15.09 / $34.19	Facility		$10.17	$15.09	$34.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.17 / $15.25 / $22.61	Professional		$10.17	$15.25	$22.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.43 / $22.43 / $22.43	Professional		$22.43	$22.43	$22.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.90 / $30.50 / $59.80	Facility		$29.90	$30.50	$59.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.11 / $18.11 / $48.26	Professional		$18.11	$18.11	$48.26
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $23.17 / $24.91 / $24.91	Facility		$23.17	$24.91	$24.91
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $24.91 / $24.91 / $24.91	Professional		$24.91	$24.91	$24.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.18 / $22.18 / $31.55	Facility		$22.18	$22.18	$31.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.19 / $16.19 / $31.55	Professional		$16.19	$16.19	$31.55
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $29.90 / $67.28 / $332.00	Facility		$29.90	$67.28	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $15.44 / $22.13 / $53.82	Professional		$15.44	$22.13	$53.82
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.87 / $6.87 / $6.87	Facility		$6.87	$6.87	$6.87
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.87 / $17.28 / $21.44	Professional		$6.87	$17.28	$21.44
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.24 / $24.24 / $24.24	Professional		$24.24	$24.24	$24.24
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $22.18 / $29.90 / $555.00	Facility		$22.18	$29.90	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $16.19 / $18.32 / $38.50	Professional		$16.19	$18.32	$38.50
United Facility/Professional Professional Modifier Low / Median / High Price $9.94 / $15.75 / $27.35	Professional		$9.94	$15.75	$27.35
Univera Facility/Professional Facility Modifier Low / Median / High Price $17.28 / $17.28 / $18.67	Facility		$17.28	$17.28	$18.67
Univera Facility/Professional Professional Modifier Low / Median / High Price $6.87 / $17.28 / $18.36	Professional		$6.87	$17.28	$18.36