Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.09 / $2,952.00 / $9,267.00	Facility		$68.09	$2,952.00	$9,267.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.58 / $88.62 / $245.64	Professional		$44.58	$88.62	$245.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $107.92 / $113.39 / $116.85	Professional		$107.92	$113.39	$116.85
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 $55.43 / $99.08 / $231.13	Professional		$55.43	$99.08	$231.13
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $83.98 / $148.62 / $355.54	Professional	50	$83.98	$148.62	$355.54
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $70.00 / $70.00 / $4,050.00	Facility		$70.00	$70.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $70.00 / $176.95	Professional		$70.00	$70.00	$176.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $82.89 / $82.89 / $14,648.00	Facility		$82.89	$82.89	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.22 / $97.91 / $248.14	Professional		$50.22	$97.91	$248.14
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $72.90 / $332.00	Facility		$45.00	$72.90	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $85.57 / $238.34	Professional		$30.00	$85.57	$238.34
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.91 / $111.86 / $226.25	Professional		$74.91	$111.86	$226.25
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.77 / $144.33 / $164.30	Professional		$62.77	$144.33	$164.30
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $82.89 / $555.00 / $74,999.25	Facility		$82.89	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $59.67 / $142.90 / $302.39	Professional		$59.67	$142.90	$302.39
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 $72.58 / $137.94 / $339.57	Professional		$72.58	$137.94	$339.57
Univera Facility/Professional Facility Modifier Low / Median / High Price $52.46 / $52.46 / $204.77	Facility		$52.46	$52.46	$204.77
Univera Facility/Professional Professional Modifier Low / Median / High Price $74.91 / $131.44 / $258.50	Professional		$74.91	$131.44	$258.50