Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.55 / $1,715.00 / $8,134.00	Facility		$77.55	$1,715.00	$8,134.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $482.54 / $981.09 / $3,982.18	Facility	50	$482.54	$981.09	$3,982.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.68 / $102.49 / $329.98	Professional		$57.68	$102.49	$329.98
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $117.41 / $242.29 / $609.00	Professional	50	$117.41	$242.29	$609.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $96.37 / $100.38 / $166.62	Professional		$96.37	$100.38	$166.62
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 $83.68 / $109.09 / $224.89	Professional		$83.68	$109.09	$224.89
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $130.41 / $165.62 / $337.43	Professional	50	$130.41	$165.62	$337.43
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $84.98 / $84.98 / $6,213.00	Facility		$84.98	$84.98	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $84.98 / $84.98 / $139.41	Professional		$84.98	$84.98	$139.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.78 / $100.78 / $14,648.00	Facility		$100.78	$100.78	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.02 / $121.23 / $293.47	Professional		$64.02	$121.23	$293.47
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $62.03 / $100.69 / $332.00	Facility		$62.03	$100.69	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $105.32 / $150.31 / $221.08	Professional		$105.32	$150.31	$221.08
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $92.17 / $92.17 / $92.17	Facility		$92.17	$92.17	$92.17
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.95 / $119.05 / $210.00	Professional		$80.95	$119.05	$210.00
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $99.54 / $101.39 / $144.29	Professional		$99.54	$101.39	$144.29
Fidelis Facility/Professional Professional Modifier 50 Low / Median / High Price $147.93 / $147.93 / $216.44	Professional	50	$147.93	$147.93	$216.44
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $153.36 / $490.16 / $1,188.36	Facility		$153.36	$490.16	$1,188.36
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $153.36 / $153.36 / $162.15	Facility	50	$153.36	$153.36	$162.15
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.81 / $131.66 / $169.82	Professional		$94.81	$131.66	$169.82
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $145.16 / $187.37 / $199.68	Professional	50	$145.16	$187.37	$199.68
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $100.78 / $555.00 / $597.00	Facility		$100.78	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $63.40 / $125.13 / $286.38	Professional		$63.40	$125.13	$286.38
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 $83.40 / $116.35 / $293.73	Professional		$83.40	$116.35	$293.73
Univera Facility/Professional Facility Modifier Low / Median / High Price $70.48 / $70.48 / $146.15	Facility		$70.48	$70.48	$146.15
Univera Facility/Professional Professional Modifier Low / Median / High Price $86.25 / $128.44 / $210.00	Professional		$86.25	$128.44	$210.00