Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.38 / $1,575.60 / $7,028.00	Facility		$38.38	$1,575.60	$7,028.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.98 / $52.44 / $160.87	Professional		$26.98	$52.44	$160.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.09 / $53.60 / $103.47	Professional		$45.09	$53.60	$103.47
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 $30.85 / $47.21 / $113.30	Professional		$30.85	$47.21	$113.30
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $42.20 / $42.20 / $4,050.00	Facility		$42.20	$42.20	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $42.20 / $42.20 / $79.44	Professional		$42.20	$42.20	$79.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.85 / $49.85 / $14,648.00	Facility		$49.85	$49.85	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.44 / $55.89 / $128.40	Professional		$29.44	$55.89	$128.40
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $34.59 / $49.54 / $332.00	Facility		$34.59	$49.54	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $50.88 / $120.12	Professional		$12.00	$50.88	$120.12
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.04 / $53.31 / $106.34	Professional		$43.04	$53.31	$106.34
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $57.57 / $57.57 / $57.57	Professional		$57.57	$57.57	$57.57
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $639.69 / $651.57	Facility		$50.00	$639.69	$651.57
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.38 / $64.88 / $99.48	Professional		$54.38	$64.88	$99.48
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $49.85 / $555.00 / $74,999.25	Facility		$49.85	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $32.00 / $67.15 / $141.69	Professional		$32.00	$67.15	$141.69
United Facility/Professional Facility Modifier Low / Median / High Price $575.94 / $2,705.00 / $4,840.00	Facility		$575.94	$2,705.00	$4,840.00
United Facility/Professional Professional Modifier Low / Median / High Price $36.60 / $65.58 / $138.38	Professional		$36.60	$65.58	$138.38
Univera Facility/Professional Facility Modifier Low / Median / High Price $32.03 / $32.03 / $104.52	Facility		$32.03	$32.03	$104.52
Univera Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $61.78 / $121.50	Professional		$39.81	$61.78	$121.50