Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.34 / $2,865.00 / $7,307.00	Facility		$112.34	$2,865.00	$7,307.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.87 / $120.54 / $270.47	Professional		$73.87	$120.54	$270.47
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $36.56 / $55.75 / $110.84	Professional	52	$36.56	$55.75	$110.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $124.13 / $124.13 / $124.13	Professional		$124.13	$124.13	$124.13
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 $79.66 / $111.11 / $263.50	Professional		$79.66	$111.11	$263.50
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $113.47 / $113.47 / $4,050.00	Facility		$113.47	$113.47	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $113.47 / $113.47 / $187.47	Professional		$113.47	$113.47	$187.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.41 / $140.41 / $14,648.00	Facility		$140.41	$140.41	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.52 / $136.57 / $298.80	Professional		$70.52	$136.57	$298.80
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $126.15 / $332.00	Facility		$75.00	$126.15	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $155.53 / $180.28 / $377.76	Professional		$155.53	$180.28	$377.76
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.46 / $123.38 / $246.27	Professional		$108.46	$123.38	$246.27
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $158.56 / $158.56 / $158.56	Professional		$158.56	$158.56	$158.56
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.58 / $50.00 / $2,269.78	Facility		$40.58	$50.00	$2,269.78
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.38 / $139.55 / $205.74	Professional		$123.38	$139.55	$205.74
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $140.41 / $555.00 / $74,999.25	Facility		$140.41	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $79.76 / $160.97 / $336.97	Professional		$79.76	$160.97	$336.97
United Facility/Professional Facility Modifier Low / Median / High Price $575.94 / $2,705.00 / $4,840.00	Facility		$575.94	$2,705.00	$4,840.00
United Facility/Professional Professional Modifier Low / Median / High Price $84.83 / $139.24 / $330.79	Professional		$84.83	$139.24	$330.79
Univera Facility/Professional Facility Modifier Low / Median / High Price $89.95 / $89.95 / $244.25	Facility		$89.95	$89.95	$244.25
Univera Facility/Professional Professional Modifier Low / Median / High Price $97.41 / $143.08 / $281.36	Professional		$97.41	$143.08	$281.36