Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.61 / $2,900.00 / $9,267.00	Facility		$58.61	$2,900.00	$9,267.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $79.50 / $199.81	Professional		$38.90	$79.50	$199.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $126.46 / $126.46 / $126.46	Professional		$126.46	$126.46	$126.46
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 $47.75 / $94.54 / $217.01	Professional		$47.75	$94.54	$217.01
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $64.39 / $64.39 / $4,050.00	Facility		$64.39	$64.39	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $64.39 / $64.39 / $167.52	Professional		$64.39	$64.39	$167.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $76.48 / $76.48 / $14,648.00	Facility		$76.48	$76.48	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.59 / $91.45 / $233.10	Professional		$44.59	$91.45	$233.10
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $60.55 / $332.00	Facility		$35.00	$60.55	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $71.23 / $226.13	Professional		$24.00	$71.23	$226.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.02 / $106.38 / $213.54	Professional		$66.02	$106.38	$213.54
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.15 / $138.13 / $154.13	Professional		$116.15	$138.13	$154.13
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $76.48 / $555.00 / $74,999.25	Facility		$76.48	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $53.88 / $132.82 / $287.58	Professional		$53.88	$132.82	$287.58
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 $69.86 / $130.55 / $300.58	Professional		$69.86	$130.55	$300.58
Univera Facility/Professional Facility Modifier Low / Median / High Price $48.61 / $48.61 / $151.25	Facility		$48.61	$48.61	$151.25
Univera Facility/Professional Professional Modifier Low / Median / High Price $66.02 / $114.19 / $243.97	Professional		$66.02	$114.19	$243.97