Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.68 / $2,920.00 / $9,267.00	Facility		$43.68	$2,920.00	$9,267.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.69 / $67.73 / $228.23	Professional		$26.69	$67.73	$228.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.45 / $95.45 / $95.45	Professional		$95.45	$95.45	$95.45
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 $35.35 / $83.00 / $188.23	Professional		$35.35	$83.00	$188.23
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $47.63 / $47.63 / $4,050.00	Facility		$47.63	$47.63	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $47.63 / $47.63 / $145.51	Professional		$47.63	$47.63	$145.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.24 / $57.24 / $14,648.00	Facility		$57.24	$57.24	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.56 / $73.65 / $200.14	Professional		$31.56	$73.65	$200.14
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $52.50 / $332.00	Facility		$35.00	$52.50	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $50.88 / $195.96	Professional		$24.00	$50.88	$195.96
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.86 / $93.36 / $185.11	Professional		$53.86	$93.36	$185.11
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.46 / $118.70 / $133.07	Professional		$101.46	$118.70	$133.07
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $57.24 / $555.00 / $74,999.25	Facility		$57.24	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $36.75 / $114.50 / $247.40	Professional		$36.75	$114.50	$247.40
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 $60.96 / $113.27 / $254.64	Professional		$60.96	$113.27	$254.64
Univera Facility/Professional Facility Modifier Low / Median / High Price $36.35 / $36.35 / $104.09	Facility		$36.35	$36.35	$104.09
Univera Facility/Professional Professional Modifier Low / Median / High Price $53.86 / $107.08 / $211.49	Professional		$53.86	$107.08	$211.49