Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.09 / $3,316.00 / $7,969.00	Facility		$93.09	$3,316.00	$7,969.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.63 / $86.46 / $168.07	Professional		$60.63	$86.46	$168.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.03 / $100.03 / $100.03	Professional		$100.03	$100.03	$100.03
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 $69.90 / $90.54 / $191.39	Professional		$69.90	$90.54	$191.39
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $98.65 / $98.65 / $4,050.00	Facility		$98.65	$98.65	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $98.65 / $98.65 / $139.71	Professional		$98.65	$98.65	$139.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $118.94 / $118.94 / $14,648.00	Facility		$118.94	$118.94	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.13 / $111.13 / $233.85	Professional		$55.13	$111.13	$233.85
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $57.00 / $98.61 / $332.00	Facility		$57.00	$98.61	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $116.59 / $135.13 / $282.95	Professional		$116.59	$135.13	$282.95
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.09 / $92.97 / $185.27	Professional		$75.09	$92.97	$185.27
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.55 / $107.96 / $109.15	Professional		$98.55	$107.96	$109.15
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $118.94 / $555.00 / $74,999.25	Facility		$118.94	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $68.06 / $119.41 / $256.68	Professional		$68.06	$119.41	$256.68
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 $59.33 / $110.05 / $242.67	Professional		$59.33	$110.05	$242.67
Univera Facility/Professional Facility Modifier Low / Median / High Price $76.11 / $76.11 / $223.40	Facility		$76.11	$76.11	$223.40
Univera Facility/Professional Professional Modifier Low / Median / High Price $75.09 / $107.64 / $224.20	Professional		$75.09	$107.64	$224.20