Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.49 / $2,626.00 / $7,307.00	Facility		$56.49	$2,626.00	$7,307.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.29 / $61.99 / $164.45	Professional		$38.29	$61.99	$164.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.44 / $57.44 / $71.01	Professional		$57.44	$57.44	$71.01
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 $54.28 / $70.87 / $140.06	Professional		$54.28	$70.87	$140.06
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $58.33 / $58.33 / $4,050.00	Facility		$58.33	$58.33	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $58.33 / $58.33 / $89.37	Professional		$58.33	$58.33	$89.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.06 / $70.06 / $70.06	Facility		$70.06	$70.06	$70.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.24 / $79.11 / $193.33	Professional		$44.24	$79.11	$193.33
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $48.00 / $69.34 / $332.00	Facility		$48.00	$69.34	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $70.95 / $95.39 / $146.12	Professional		$70.95	$95.39	$146.12
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.93 / $60.93 / $60.93	Facility		$60.93	$60.93	$60.93
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.08 / $77.98 / $137.55	Professional		$50.08	$77.98	$137.55
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.16 / $84.40 / $98.07	Professional		$66.16	$84.40	$98.07
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $70.06 / $555.00 / $597.00	Facility		$70.06	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $48.35 / $84.28 / $193.33	Professional		$48.35	$84.28	$193.33
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 $54.70 / $76.84 / $193.48	Professional		$54.70	$76.84	$193.48
Univera Facility/Professional Facility Modifier Low / Median / High Price $49.15 / $49.15 / $204.60	Facility		$49.15	$49.15	$204.60
Univera Facility/Professional Professional Modifier Low / Median / High Price $50.08 / $84.91 / $137.55	Professional		$50.08	$84.91	$137.55