Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.69 / $3,016.00 / $9,267.00	Facility		$82.69	$3,016.00	$9,267.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.67 / $96.84 / $262.68	Professional		$56.67	$96.84	$262.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $149.66 / $149.66 / $149.66	Professional		$149.66	$149.66	$149.66
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 $64.42 / $110.85 / $242.60	Professional		$64.42	$110.85	$242.60
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $89.01 / $89.01 / $4,050.00	Facility		$89.01	$89.01	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $89.01 / $89.01 / $197.87	Professional		$89.01	$89.01	$197.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.46 / $106.46 / $14,648.00	Facility		$106.46	$106.46	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.37 / $116.53 / $292.05	Professional		$61.37	$116.53	$292.05
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $82.05 / $332.00	Facility		$45.00	$82.05	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $85.57 / $270.17	Professional		$30.00	$85.57	$270.17
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.84 / $125.84 / $252.51	Professional		$81.84	$125.84	$252.51
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $126.86 / $126.86 / $126.86	Professional		$126.86	$126.86	$126.86
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.84 / $161.38 / $183.01	Professional		$125.84	$161.38	$183.01
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $106.46 / $555.00 / $74,999.25	Facility		$106.46	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $73.33 / $156.07 / $323.35	Professional		$73.33	$156.07	$323.35
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 $82.67 / $148.32 / $347.15	Professional		$82.67	$148.32	$347.15
Univera Facility/Professional Facility Modifier Low / Median / High Price $67.01 / $67.01 / $220.70	Facility		$67.01	$67.01	$220.70
Univera Facility/Professional Professional Modifier Low / Median / High Price $81.84 / $146.71 / $288.50	Professional		$81.84	$146.71	$288.50