Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $20.42 / $257.04	Facility		$8.91	$20.42	$257.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.72 / $18.20	Professional		$7.94	$10.72	$18.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $16.98 / $18.62	Professional		$13.18	$16.98	$18.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $51.29	Facility		$25.70	$25.70	$51.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $43.65	Professional		$14.13	$14.13	$43.65
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $20.89 / $20.89	Facility		$19.50	$20.89	$20.89
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $20.89	Professional		$20.89	$20.89	$20.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $34.67 / $50,118.72	Facility		$14.45	$34.67	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $10.47 / $24.55	Professional		$10.47	$10.47	$24.55
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $42.66 / $97.72	Facility		$25.70	$42.66	$97.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $26.92 / $50.12	Professional		$15.85	$26.92	$50.12
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $19.95	Facility		$19.05	$19.05	$19.95
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $16.22 / $19.05	Professional		$15.14	$16.22	$19.05
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Facility		$52.48	$52.48	$52.48
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Professional		$20.42	$20.42	$20.42
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $50,118.72 / $75,857.76	Facility		$40.74	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $24.55 / $24.55	Professional		$16.98	$24.55	$24.55
United Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $14.79 / $25.70	Facility		$7.76	$14.79	$25.70
United Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $13.18 / $20.89	Professional		$8.32	$13.18	$20.89
Univera Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $15.85 / $19.95	Facility		$15.14	$15.85	$19.95
Univera Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $16.22 / $19.05	Professional		$15.14	$16.22	$19.05