Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.95 / $1,817.98 / $7,095.00	Facility		$33.95	$1,817.98	$7,095.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.12 / $51.90 / $211.27	Professional		$20.12	$51.90	$211.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $51.91 / $51.91 / $51.91	Professional		$51.91	$51.91	$51.91
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 $23.11 / $53.48 / $104.40	Professional		$23.11	$53.48	$104.40
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $31.01 / $31.01 / $4,050.00	Facility		$31.01	$31.01	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $31.01 / $31.01 / $74.45	Professional		$31.01	$31.01	$74.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.79 / $36.79 / $14,648.00	Facility		$36.79	$36.79	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.71 / $48.88 / $107.35	Professional		$22.71	$48.88	$107.35
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $14.53 / $28.42 / $332.00	Facility		$14.53	$28.42	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $57.66 / $67.91 / $140.07	Professional		$57.66	$67.91	$140.07
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.52 / $49.36 / $92.75	Professional		$41.52	$49.36	$92.75
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $62.10 / $62.10 / $76.68	Facility		$62.10	$62.10	$76.68
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.32 / $53.83 / $68.84	Professional		$43.32	$53.83	$68.84
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $36.79 / $555.00 / $74,999.25	Facility		$36.79	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $26.72 / $60.66 / $123.47	Professional		$26.72	$60.66	$123.47
United Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,826.00 / $4,851.00	Facility		$964.00	$2,826.00	$4,851.00
United Facility/Professional Professional Modifier Low / Median / High Price $35.82 / $61.88 / $125.57	Professional		$35.82	$61.88	$125.57
Univera Facility/Professional Facility Modifier Low / Median / High Price $23.42 / $23.42 / $29.61	Facility		$23.42	$23.42	$29.61
Univera Facility/Professional Professional Modifier Low / Median / High Price $31.34 / $51.95 / $105.97	Professional		$31.34	$51.95	$105.97