Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.44 / $1,114.00 / $7,028.00	Facility		$86.44	$1,114.00	$7,028.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.03 / $110.65 / $310.02	Professional		$60.03	$110.65	$310.02
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $29.89 / $47.42 / $100.22	Professional	52	$29.89	$47.42	$100.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.25 / $107.86 / $226.34	Professional		$89.25	$107.86	$226.34
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 $65.53 / $95.59 / $228.23	Professional		$65.53	$95.59	$228.23
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $101.22 / $143.07 / $342.34	Professional	50	$101.22	$143.07	$342.34
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $92.16 / $92.16 / $4,050.00	Facility		$92.16	$92.16	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $92.16 / $92.16 / $159.96	Professional		$92.16	$92.16	$159.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.34 / $114.34 / $14,648.00	Facility		$114.34	$114.34	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.54 / $116.46 / $267.99	Professional		$60.54	$116.46	$267.99
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $90.85 / $332.00	Facility		$45.00	$90.85	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $71.23 / $196.54	Professional		$12.00	$71.23	$196.54
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.60 / $105.10 / $210.44	Professional		$91.60	$105.10	$210.44
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $276.79 / $2,140.51	Facility		$50.00	$276.79	$2,140.51
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.10 / $118.77 / $189.99	Professional		$105.10	$118.77	$189.99
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $114.34 / $555.00 / $74,999.25	Facility		$114.34	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $63.43 / $137.49 / $291.87	Professional		$63.43	$137.49	$291.87
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 $72.81 / $125.72 / $283.76	Professional		$72.81	$125.72	$283.76
Univera Facility/Professional Facility Modifier Low / Median / High Price $74.09 / $74.09 / $190.86	Facility		$74.09	$74.09	$190.86
Univera Facility/Professional Professional Modifier Low / Median / High Price $80.41 / $112.53 / $240.43	Professional		$80.41	$112.53	$240.43