Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.00 / $1,514.99 / $7,095.00	Facility		$61.00	$1,514.99	$7,095.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.96 / $73.53 / $159.60	Professional		$45.96	$73.53	$159.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.39 / $123.24 / $135.86	Professional		$61.39	$123.24	$135.86
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 $45.33 / $59.26 / $155.69	Professional		$45.33	$59.26	$155.69
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $75.34 / $75.34 / $4,050.00	Facility		$75.34	$75.34	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $75.34 / $75.34 / $93.01	Professional		$75.34	$75.34	$93.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.23 / $91.23 / $14,648.00	Facility		$91.23	$91.23	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.79 / $79.06 / $181.13	Professional		$39.79	$79.06	$181.13
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $31.00 / $67.09 / $332.00	Facility		$31.00	$67.09	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $71.23 / $118.89	Professional		$27.00	$71.23	$118.89
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.06 / $72.94 / $125.54	Professional		$57.06	$72.94	$125.54
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.20 / $84.06 / $639.69	Facility		$12.20	$84.06	$639.69
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.09 / $71.87 / $101.87	Professional		$61.09	$71.87	$101.87
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $91.23 / $555.00 / $74,999.25	Facility		$91.23	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $47.00 / $83.93 / $187.69	Professional		$47.00	$83.93	$187.69
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 $42.23 / $75.09 / $164.26	Professional		$42.23	$75.09	$164.26
Univera Facility/Professional Facility Modifier Low / Median / High Price $59.48 / $59.48 / $160.60	Facility		$59.48	$59.48	$160.60
Univera Facility/Professional Professional Modifier Low / Median / High Price $57.58 / $72.94 / $160.01	Professional		$57.58	$72.94	$160.01