Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.94 / $3,020.00 / $9,267.00	Facility		$65.94	$3,020.00	$9,267.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $90.68 / $289.58	Professional		$45.71	$90.68	$289.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $116.29 / $116.29 / $116.29	Professional		$116.29	$116.29	$116.29
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 $53.76 / $98.77 / $229.71	Professional		$53.76	$98.77	$229.71
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $72.25 / $72.25 / $4,050.00	Facility		$72.25	$72.25	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $72.25 / $72.25 / $175.86	Professional		$72.25	$72.25	$175.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.18 / $87.18 / $14,648.00	Facility		$87.18	$87.18	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.18 / $100.88 / $244.96	Professional		$50.18	$100.88	$244.96
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $67.28 / $332.00	Facility		$35.00	$67.28	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $85.57 / $238.26	Professional		$30.00	$85.57	$238.26
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.73 / $111.37 / $224.09	Professional		$71.73	$111.37	$224.09
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $111.94 / $111.94 / $111.94	Professional		$111.94	$111.94	$111.94
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $646.75 / $646.75 / $646.75	Facility		$646.75	$646.75	$646.75
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.89 / $132.80 / $161.83	Professional		$101.89	$132.80	$161.83
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $87.18 / $555.00 / $74,999.25	Facility		$87.18	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $60.03 / $141.22 / $300.72	Professional		$60.03	$141.22	$300.72
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 $76.17 / $140.33 / $304.89	Professional		$76.17	$140.33	$304.89
Univera Facility/Professional Facility Modifier Low / Median / High Price $54.75 / $54.75 / $176.43	Facility		$54.75	$54.75	$176.43
Univera Facility/Professional Professional Modifier Low / Median / High Price $71.73 / $119.83 / $256.02	Professional		$71.73	$119.83	$256.02