Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $1,819.70 / $7,244.36	Facility		$27.54	$1,819.70	$7,244.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $57.54 / $186.21	Professional		$14.13	$57.54	$186.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Professional		$79.43	$79.43	$79.43
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 $53.70 / $66.07 / $131.83	Professional		$53.70	$66.07	$131.83
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $81.28 / $100.00 / $199.53	Professional	50	$81.28	$100.00	$199.53
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $4,073.80	Facility		$22.91	$22.91	$4,073.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $97.72	Professional		$22.91	$22.91	$97.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $53,703.18	Facility		$26.92	$26.92	$53,703.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $45.71 / $162.18	Professional		$16.22	$45.71	$162.18
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $33.11 / $56.23	Facility		$15.85	$33.11	$56.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $66.07 / $125.89	Professional		$43.65	$66.07	$125.89
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $75.86 / $131.83	Professional		$38.90	$75.86	$131.83
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $79.43 / $794.33	Facility		$50.12	$79.43	$794.33
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $102.33 / $107.15	Professional		$91.20	$102.33	$107.15
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $50,118.72 / $75,857.76	Facility		$34.67	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $93.33 / $398.11	Professional		$72.44	$93.33	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $2,754.23 / $4,897.79	Facility		$831.76	$2,754.23	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $35.48 / $95.50	Professional		$10.72	$35.48	$95.50
Univera Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $16.60 / $89.13	Facility		$12.59	$16.60	$89.13
Univera Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $66.07 / $131.83	Professional		$38.02	$66.07	$131.83