Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $2,630.27 / $7,413.10	Facility		$39.81	$2,630.27	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $48.98 / $128.82	Professional		$23.99	$48.98	$128.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Professional		$54.95	$54.95	$54.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,630.78 / $5,011.87	Facility		$1,819.70	$3,630.78	$5,011.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $50.12 / $123.03	Professional		$38.90	$50.12	$123.03
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $4,073.80	Facility		$39.81	$39.81	$4,073.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $81.28	Professional		$39.81	$39.81	$81.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $46.77 / $53,703.18	Facility		$34.67	$46.77	$53,703.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $56.23 / $138.04	Professional		$28.18	$56.23	$138.04
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $36.31 / $91.20	Facility		$27.54	$36.31	$91.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $83.18 / $134.90	Professional		$69.18	$83.18	$134.90
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $63.10 / $109.65	Professional		$42.66	$63.10	$109.65
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Facility		$1,230.27	$1,230.27	$1,230.27
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $50,118.72 / $75,857.76	Facility		$33.88	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $83.18 / $398.11	Professional		$66.07	$83.18	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $2,754.23 / $4,897.79	Facility		$954.99	$2,754.23	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $39.81 / $93.33	Professional		$19.05	$39.81	$93.33
Univera Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $29.51 / $123.03	Facility		$22.39	$29.51	$123.03
Univera Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $66.07 / $141.25	Professional		$42.66	$66.07	$141.25