Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.39 / $2,900.00 / $9,267.00	Facility		$77.39	$2,900.00	$9,267.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.20 / $93.81 / $219.22	Professional		$68.20	$93.81	$219.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $112.74 / $115.47 / $115.47	Professional		$112.74	$115.47	$115.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,691.00 / $3,382.00 / $4,707.00	Facility		$1,691.00	$3,382.00	$4,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $95.25 / $212.96	Professional		$68.50	$95.25	$212.96
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $73.70 / $73.70 / $4,050.00	Facility		$73.70	$73.70	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $73.70 / $73.70 / $164.42	Professional		$73.70	$73.70	$164.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.30 / $88.30 / $14,648.00	Facility		$88.30	$88.30	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.58 / $114.42 / $243.22	Professional		$55.58	$114.42	$243.22
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $47.00 / $76.54 / $332.00	Facility		$47.00	$76.54	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $9.00 / $65.00 / $230.80	Professional		$9.00	$65.00	$230.80
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.04 / $107.62 / $214.98	Professional		$77.04	$107.62	$214.98
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $113.00 / $113.00 / $155.31	Professional		$113.00	$113.00	$155.31
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $126.10 / $126.10 / $503.52	Facility		$126.10	$126.10	$503.52
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.01 / $121.84 / $135.60	Professional		$114.01	$121.84	$135.60
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $88.30 / $555.00 / $74,999.25	Facility		$88.30	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $58.73 / $133.71 / $270.50	Professional		$58.73	$133.71	$270.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,252.00 / $2,651.00 / $4,592.00	Facility		$1,252.00	$2,651.00	$4,592.00
United Facility/Professional Professional Modifier Low / Median / High Price $71.29 / $126.57 / $271.74	Professional		$71.29	$126.57	$271.74
Univera Facility/Professional Facility Modifier Low / Median / High Price $55.83 / $55.83 / $279.07	Facility		$55.83	$55.83	$279.07
Univera Facility/Professional Professional Modifier Low / Median / High Price $77.04 / $124.90 / $245.61	Professional		$77.04	$124.90	$245.61