Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.92 / $1,819.00 / $7,095.00	Facility		$4.92	$1,819.00	$7,095.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.68 / $13.50 / $84.00	Professional		$3.68	$13.50	$84.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $1.05 / $2.46 / $4.72	Professional	52	$1.05	$2.46	$4.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.88 / $5.88 / $6.45	Professional		$5.88	$5.88	$6.45
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 $3.76 / $5.61 / $14.80	Professional		$3.76	$5.61	$14.80
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2.95 / $2.95 / $4,050.00	Facility		$2.95	$2.95	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $2.95 / $9.16	Professional		$2.95	$2.95	$9.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.42 / $3.42 / $14,648.00	Facility		$3.42	$3.42	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $5.90 / $15.16	Professional		$2.02	$5.90	$15.16
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2.33 / $9.00 / $332.00	Facility		$2.33	$9.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.78 / $9.19 / $24.28	Professional		$7.78	$9.19	$24.28
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.45 / $6.21 / $12.32	Professional		$5.45	$6.21	$12.32
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $2.64 / $2.64 / $2.64	Professional		$2.64	$2.64	$2.64
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $78.08 / $78.08 / $251.76	Facility		$78.08	$78.08	$251.76
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.81 / $6.41 / $7.57	Professional		$2.81	$6.41	$7.57
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $3.42 / $555.00 / $74,999.25	Facility		$3.42	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2.38 / $7.62 / $18.23	Professional		$2.38	$7.62	$18.23
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 $3.89 / $7.24 / $15.12	Professional		$3.89	$7.24	$15.12
Univera Facility/Professional Facility Modifier Low / Median / High Price $2.20 / $2.20 / $31.79	Facility		$2.20	$2.20	$31.79
Univera Facility/Professional Professional Modifier Low / Median / High Price $5.43 / $6.48 / $15.63	Professional		$5.43	$6.48	$15.63