Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.73 / $2,900.00 / $7,343.00	Facility		$59.73	$2,900.00	$7,343.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.71 / $64.11 / $158.97	Professional		$41.71	$64.11	$158.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.33 / $64.63 / $68.09	Professional		$63.33	$64.63	$68.09
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 $45.23 / $58.15 / $138.90	Professional		$45.23	$58.15	$138.90
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $65.34 / $65.34 / $4,050.00	Facility		$65.34	$65.34	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $65.34 / $65.34 / $99.24	Professional		$65.34	$65.34	$99.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $76.47 / $76.47 / $14,648.00	Facility		$76.47	$76.47	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.66 / $75.34 / $162.02	Professional		$41.66	$75.34	$162.02
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $40.00 / $65.68 / $332.00	Facility		$40.00	$65.68	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $74.90 / $137.76	Professional		$18.00	$74.90	$137.76
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.99 / $65.29 / $130.15	Professional		$52.99	$65.29	$130.15
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $154.68 / $5,136.37	Facility		$50.00	$154.68	$5,136.37
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.88 / $80.97 / $81.86	Professional		$68.88	$80.97	$81.86
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $76.47 / $555.00 / $74,999.25	Facility		$76.47	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $47.52 / $85.34 / $178.71	Professional		$47.52	$85.34	$178.71
United Facility/Professional Facility Modifier Low / Median / High Price $1,252.00 / $2,651.00 / $4,592.00	Facility		$1,252.00	$2,651.00	$4,592.00
United Facility/Professional Professional Modifier Low / Median / High Price $45.92 / $79.81 / $186.75	Professional		$45.92	$79.81	$186.75
Univera Facility/Professional Facility Modifier Low / Median / High Price $48.70 / $48.70 / $164.30	Facility		$48.70	$48.70	$164.30
Univera Facility/Professional Professional Modifier Low / Median / High Price $52.99 / $75.62 / $148.69	Professional		$52.99	$75.62	$148.69