Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.74 / $2,660.00 / $7,235.00	Facility		$135.74	$2,660.00	$7,235.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.96 / $160.84 / $311.85	Professional		$98.96	$160.84	$311.85
Aetna Facility/Professional Professional Modifier 22 Low / Median / High Price $799.01 / $799.01 / $799.01	Professional	22	$799.01	$799.01	$799.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $162.06 / $174.57 / $174.57	Professional		$162.06	$174.57	$174.57
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 $106.25 / $140.19 / $331.39	Professional		$106.25	$140.19	$331.39
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $137.36 / $137.36 / $4,050.00	Facility		$137.36	$137.36	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $137.36 / $137.36 / $233.33	Professional		$137.36	$137.36	$233.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.91 / $165.91 / $165.91	Facility		$165.91	$165.91	$165.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.28 / $178.98 / $371.44	Professional		$94.28	$178.98	$371.44
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $118.12 / $172.00 / $332.00	Facility		$118.12	$172.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $194.77 / $225.75 / $473.70	Professional		$194.77	$225.75	$473.70
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.27 / $154.62 / $309.68	Professional		$138.27	$154.62	$309.68
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $187.46 / $187.46 / $201.57	Professional		$187.46	$187.46	$201.57
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Facility		$50.00	$50.00	$50.00
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.06 / $163.60 / $210.57	Professional		$139.06	$163.60	$210.57
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $165.91 / $555.00 / $74,999.25	Facility		$165.91	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $108.71 / $197.19 / $442.74	Professional		$108.71	$197.19	$442.74
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 $104.25 / $187.40 / $405.46	Professional		$104.25	$187.40	$405.46
Univera Facility/Professional Facility Modifier Low / Median / High Price $105.89 / $105.89 / $622.29	Facility		$105.89	$105.89	$622.29
Univera Facility/Professional Professional Modifier Low / Median / High Price $136.38 / $179.92 / $394.72	Professional		$136.38	$179.92	$394.72