Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.86 / $1,514.99 / $7,028.00	Facility		$53.86	$1,514.99	$7,028.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $0.76 / $331.22 / $331.22	Facility	50	$0.76	$331.22	$331.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.21 / $62.43 / $225.04	Professional		$37.21	$62.43	$225.04
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $73.20 / $109.79 / $340.50	Professional	50	$73.20	$109.79	$340.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.44 / $56.09 / $72.89	Professional		$36.44	$56.09	$72.89
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $80.33 / $80.33 / $82.19	Professional	50	$80.33	$80.33	$82.19
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 $38.39 / $50.19 / $136.13	Professional		$38.39	$50.19	$136.13
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $57.59 / $75.28 / $202.17	Professional	50	$57.59	$75.28	$202.17
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $55.20 / $55.20 / $4,050.00	Facility		$55.20	$55.20	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $55.20 / $55.20 / $79.08	Professional		$55.20	$55.20	$79.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.77 / $66.77 / $66.77	Facility		$66.77	$66.77	$66.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $70.81 / $176.05	Professional		$42.13	$70.81	$176.05
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $60.14 / $332.00	Facility		$35.00	$60.14	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $63.17 / $90.65 / $160.00	Professional		$63.17	$90.65	$160.00
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.25 / $54.25 / $54.25	Facility		$54.25	$54.25	$54.25
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.19 / $69.40 / $122.42	Professional		$47.19	$69.40	$122.42
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $61.30 / $61.30 / $64.76	Professional		$61.30	$61.30	$64.76
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.82 / $153.36 / $1,001.37	Facility		$54.82	$153.36	$1,001.37
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $50.00 / $91.41 / $331.47	Facility	50	$50.00	$91.41	$331.47
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.97 / $74.67 / $97.20	Professional		$56.97	$74.67	$97.20
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $83.58 / $112.02 / $113.93	Professional	50	$83.58	$112.02	$113.93
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $66.77 / $555.00 / $597.00	Facility		$66.77	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $45.33 / $75.86 / $178.73	Professional		$45.33	$75.86	$178.73
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 $48.59 / $69.51 / $178.64	Professional		$48.59	$69.51	$178.64
Univera Facility/Professional Facility Modifier Low / Median / High Price $46.49 / $46.49 / $190.49	Facility		$46.49	$46.49	$190.49
Univera Facility/Professional Professional Modifier Low / Median / High Price $49.30 / $75.61 / $122.42	Professional		$49.30	$75.61	$122.42