Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $52.48 / $74.13	Facility		$22.91	$52.48	$74.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $28.18 / $46.77	Professional		$22.91	$28.18	$46.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $39.81 / $46.77	Professional		$38.90	$39.81	$46.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $131.83	Facility		$66.07	$66.07	$131.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.90 / $100.00	Professional		$38.02	$38.90	$100.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $53.70 / $53.70	Facility		$50.12	$53.70	$53.70
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Professional		$53.70	$53.70	$53.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $91.20 / $50,118.72	Facility		$34.67	$91.20	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $64.57	Professional		$25.12	$25.12	$64.57
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $109.65 / $257.04	Facility		$66.07	$109.65	$257.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $69.18 / $128.82	Professional		$40.74	$69.18	$128.82
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $26.30	Facility		$25.12	$25.12	$26.30
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $38.90 / $41.69	Professional		$25.12	$38.90	$41.69
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Professional		$52.48	$52.48	$52.48
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $50,118.72 / $75,857.76	Facility		$53.70	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $63.10 / $63.10	Professional		$43.65	$63.10	$63.10
United Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $39.81 / $67.61	Facility		$20.89	$39.81	$67.61
United Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $33.88 / $53.70	Professional		$21.38	$33.88	$53.70
Univera Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $37.15 / $38.90	Facility		$25.12	$37.15	$38.90
Univera Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $38.90 / $41.69	Professional		$25.12	$38.90	$41.69