Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.39 / $1,821.00 / $7,095.00	Facility		$55.39	$1,821.00	$7,095.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.71 / $63.59 / $215.92	Professional		$37.71	$63.59	$215.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.45 / $57.45 / $57.45	Professional		$57.45	$57.45	$57.45
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 $41.31 / $54.01 / $148.05	Professional		$41.31	$54.01	$148.05
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $60.46 / $60.46 / $4,050.00	Facility		$60.46	$60.46	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $60.46 / $60.46 / $87.67	Professional		$60.46	$60.46	$87.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.38 / $70.38 / $70.38	Facility		$70.38	$70.38	$70.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.06 / $79.06 / $195.31	Professional		$45.06	$79.06	$195.31
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $48.75 / $70.05 / $332.00	Facility		$48.75	$70.05	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $65.48 / $90.56 / $145.90	Professional		$65.48	$90.56	$145.90
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.24 / $56.24 / $56.24	Facility		$56.24	$56.24	$56.24
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.56 / $72.65 / $128.15	Professional		$50.56	$72.65	$128.15
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.82 / $317.94 / $1,161.38	Facility		$54.82	$317.94	$1,161.38
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.98 / $88.80 / $126.49	Professional		$66.98	$88.80	$126.49
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $70.38 / $555.00 / $597.00	Facility		$70.38	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $48.28 / $85.09 / $194.29	Professional		$48.28	$85.09	$194.29
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 $53.43 / $75.20 / $184.83	Professional		$53.43	$75.20	$184.83
Univera Facility/Professional Facility Modifier Low / Median / High Price $50.14 / $50.14 / $182.43	Facility		$50.14	$50.14	$182.43
Univera Facility/Professional Professional Modifier Low / Median / High Price $50.56 / $78.37 / $128.15	Professional		$50.56	$78.37	$128.15