Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.67 / $1,217.59 / $7,028.00	Facility		$68.67	$1,217.59	$7,028.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.57 / $119.09 / $267.02	Professional		$43.57	$119.09	$267.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $119.50 / $136.54 / $136.80	Professional		$119.50	$136.54	$136.80
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 $50.09 / $131.16 / $270.08	Professional		$50.09	$131.16	$270.08
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $66.84 / $66.84 / $4,050.00	Facility		$66.84	$66.84	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $66.84 / $66.84 / $183.34	Professional		$66.84	$66.84	$183.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.36 / $79.36 / $14,648.00	Facility		$79.36	$79.36	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.80 / $110.08 / $259.19	Professional		$48.80	$110.08	$259.19
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $31.48 / $61.10 / $332.00	Facility		$31.48	$61.10	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $144.02 / $166.94 / $350.52	Professional		$144.02	$166.94	$350.52
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.54 / $115.50 / $230.57	Professional		$101.54	$115.50	$230.57
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $124.25 / $124.25 / $124.25	Professional		$124.25	$124.25	$124.25
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $76.68 / $502.77 / $1,669.50	Facility		$76.68	$502.77	$1,669.50
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.96 / $127.81 / $222.41	Professional		$59.96	$127.81	$222.41
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $79.36 / $555.00 / $74,999.25	Facility		$79.36	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $57.41 / $146.35 / $295.18	Professional		$57.41	$146.35	$295.18
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 $83.97 / $147.83 / $348.22	Professional		$83.97	$147.83	$348.22
Univera Facility/Professional Facility Modifier Low / Median / High Price $50.01 / $50.01 / $64.13	Facility		$50.01	$50.01	$64.13
Univera Facility/Professional Professional Modifier Low / Median / High Price $67.88 / $123.30 / $263.42	Professional		$67.88	$123.30	$263.42