Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.24 / $2,056.00 / $7,095.00	Facility		$84.24	$2,056.00	$7,095.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.03 / $84.24 / $300.17	Professional		$63.03	$84.24	$300.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $92.18 / $92.18 / $184.74	Professional		$92.18	$92.18	$184.74
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 $67.78 / $86.00 / $177.42	Professional		$67.78	$86.00	$177.42
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $105.02 / $105.02 / $4,050.00	Facility		$105.02	$105.02	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $105.02 / $105.02 / $126.50	Professional		$105.02	$105.02	$126.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.79 / $127.79 / $14,648.00	Facility		$127.79	$127.79	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.98 / $106.82 / $245.21	Professional		$55.98	$106.82	$245.21
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $47.00 / $96.35 / $332.00	Facility		$47.00	$96.35	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $108.50 / $125.77 / $263.20	Professional		$108.50	$125.77	$263.20
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.66 / $86.44 / $171.53	Professional		$71.66	$86.44	$171.53
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $203.99 / $1,413.00	Facility		$50.00	$203.99	$1,413.00
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.44 / $118.24 / $186.41	Professional		$86.44	$118.24	$186.41
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $127.79 / $555.00 / $74,999.25	Facility		$127.79	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $112.59 / $254.62	Professional		$60.00	$112.59	$254.62
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 $60.05 / $95.80 / $220.66	Professional		$60.05	$95.80	$220.66
Univera Facility/Professional Facility Modifier Low / Median / High Price $82.66 / $82.66 / $215.08	Facility		$82.66	$82.66	$215.08
Univera Facility/Professional Professional Modifier Low / Median / High Price $75.55 / $99.66 / $218.64	Professional		$75.55	$99.66	$218.64