Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.67 / $1,819.00 / $7,307.00	Facility		$73.67	$1,819.00	$7,307.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $281.75 / $981.09 / $981.09	Facility	50	$281.75	$981.09	$981.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.02 / $82.73 / $232.68	Professional		$55.02	$82.73	$232.68
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $80.06 / $139.63 / $492.00	Professional	50	$80.06	$139.63	$492.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.79 / $51.89 / $108.77	Professional		$50.79	$51.89	$108.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $3,373.00 / $4,707.00	Facility		$1,689.00	$3,373.00	$4,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.54 / $76.53 / $171.11	Professional		$58.54	$76.53	$171.11
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $87.81 / $114.79 / $257.62	Professional	50	$87.81	$114.79	$257.62
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $80.23 / $80.23 / $6,213.00	Facility		$80.23	$80.23	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $80.23 / $80.23 / $113.65	Professional		$80.23	$80.23	$113.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.49 / $96.49 / $96.49	Facility		$96.49	$96.49	$96.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $103.59 / $258.75	Professional		$61.66	$103.59	$258.75
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $56.00 / $89.60 / $332.00	Facility		$56.00	$89.60	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $89.86 / $126.58 / $186.46	Professional		$89.86	$126.58	$186.46
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.17 / $77.17 / $77.17	Facility		$77.17	$77.17	$77.17
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.20 / $98.39 / $173.56	Professional		$65.20	$98.39	$173.56
Fidelis Facility/Professional Professional Modifier 50 Low / Median / High Price $147.81 / $147.81 / $147.81	Professional	50	$147.81	$147.81	$147.81
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $194.92 / $194.92 / $194.92	Facility		$194.92	$194.92	$194.92
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $54.82 / $54.82 / $54.82	Facility	50	$54.82	$54.82	$54.82
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.17 / $104.74 / $141.69	Professional		$77.17	$104.74	$141.69
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $138.44 / $161.10 / $212.52	Professional	50	$138.44	$161.10	$212.52
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $96.49 / $555.00 / $597.00	Facility		$96.49	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $61.80 / $109.27 / $257.33	Professional		$61.80	$109.27	$257.33
United Facility/Professional Facility Modifier Low / Median / High Price $674.76 / $2,705.00 / $4,840.00	Facility		$674.76	$2,705.00	$4,840.00
United Facility/Professional Professional Modifier Low / Median / High Price $69.59 / $96.65 / $233.28	Professional		$69.59	$96.65	$233.28
Univera Facility/Professional Facility Modifier Low / Median / High Price $67.59 / $67.59 / $280.44	Facility		$67.59	$67.59	$280.44
Univera Facility/Professional Professional Modifier Low / Median / High Price $65.20 / $107.54 / $173.56	Professional		$65.20	$107.54	$173.56