Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.47 / $2,282.00 / $7,235.00	Facility		$35.47	$2,282.00	$7,235.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.39 / $55.22 / $165.15	Professional		$23.39	$55.22	$165.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.70 / $65.56 / $65.56	Professional		$57.70	$65.56	$65.56
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 $27.31 / $62.40 / $121.39	Professional		$27.31	$62.40	$121.39
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $4,050.00	Facility		$36.31	$36.31	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $85.97	Professional		$36.31	$36.31	$85.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.09 / $43.09 / $14,648.00	Facility		$43.09	$43.09	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.81 / $57.23 / $123.92	Professional		$26.81	$57.23	$123.92
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $17.18 / $33.11 / $332.00	Facility		$17.18	$33.11	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $69.43 / $80.48 / $169.22	Professional		$69.43	$80.48	$169.22
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.34 / $56.54 / $109.77	Professional		$48.34	$56.54	$109.77
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $80.73 / $80.73 / $1,166.80	Facility		$80.73	$80.73	$1,166.80
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.10 / $61.75 / $97.83	Professional		$32.10	$61.75	$97.83
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $43.09 / $555.00 / $74,999.25	Facility		$43.09	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $31.54 / $70.37 / $144.86	Professional		$31.54	$70.37	$144.86
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 $40.51 / $68.70 / $151.87	Professional		$40.51	$68.70	$151.87
Univera Facility/Professional Facility Modifier Low / Median / High Price $27.29 / $27.29 / $34.99	Facility		$27.29	$27.29	$34.99
Univera Facility/Professional Professional Modifier Low / Median / High Price $37.02 / $59.51 / $125.41	Professional		$37.02	$59.51	$125.41