Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $2,041.74 / $7,413.10	Facility		$60.26	$2,041.74	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $74.13 / $239.88	Professional		$42.66	$74.13	$239.88
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $72.44 / $79.43 / $199.53	Professional	50	$72.44	$79.43	$199.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $54.95 / $58.88	Professional		$53.70	$54.95	$58.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,630.78 / $5,011.87	Facility		$1,819.70	$3,630.78	$5,011.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $50.12 / $147.91	Professional		$38.90	$50.12	$147.91
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $57.54 / $74.13 / $218.78	Professional	50	$57.54	$74.13	$218.78
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $56.23 / $4,073.80	Facility		$56.23	$56.23	$4,073.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $81.28	Professional		$56.23	$56.23	$81.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $66.07 / $50,118.72	Facility		$34.67	$66.07	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $75.86 / $204.17	Professional		$42.66	$75.86	$204.17
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $56.23 / $125.89	Facility		$38.02	$56.23	$125.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $97.72 / $134.90	Professional		$69.18	$97.72	$134.90
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Facility		$53.70	$53.70	$53.70
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $72.44 / $123.03	Professional		$48.98	$72.44	$123.03
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $467.74 / $524.81	Facility		$54.95	$467.74	$524.81
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $75.86 / $102.33	Professional		$63.10	$75.86	$102.33
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $50,118.72 / $75,857.76	Facility		$44.67	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $97.72 / $398.11	Professional		$66.07	$97.72	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $2,754.23 / $4,897.79	Facility		$870.96	$2,754.23	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $57.54 / $147.91	Professional		$36.31	$57.54	$147.91
Univera Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $45.71 / $204.17	Facility		$31.62	$45.71	$204.17
Univera Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $69.18 / $138.04	Professional		$46.77	$69.18	$138.04