Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.09 / $2,518.00 / $9,136.02	Facility		$64.09	$2,518.00	$9,136.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.89 / $130.90 / $278.60	Professional		$46.89	$130.90	$278.60
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $17.57 / $17.57 / $17.57	Professional	50	$17.57	$17.57	$17.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.56 / $71.01 / $147.19	Professional		$45.56	$71.01	$147.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,691.00 / $3,366.00 / $4,707.00	Facility		$1,691.00	$3,366.00	$4,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.55 / $120.40 / $357.79	Professional		$95.55	$120.40	$357.79
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $146.59 / $180.12 / $499.90	Professional	50	$146.59	$180.12	$499.90
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $71.04 / $71.04 / $4,050.00	Facility		$71.04	$71.04	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $71.04 / $71.04 / $234.81	Professional		$71.04	$71.04	$234.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.79 / $84.79 / $14,648.00	Facility		$84.79	$84.79	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.55 / $175.86 / $440.00	Professional		$53.55	$175.86	$440.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $57.93 / $84.88 / $332.00	Facility		$57.93	$84.88	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $163.03 / $220.99 / $316.47	Professional		$163.03	$220.99	$316.47
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.06 / $196.88 / $339.99	Professional		$131.06	$196.88	$339.99
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $121.92 / $159.35 / $1,295.20	Facility		$121.92	$159.35	$1,295.20
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.17 / $221.76 / $224.67	Professional		$72.17	$221.76	$224.67
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $84.79 / $84.79 / $597.00	Facility		$84.79	$84.79	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $59.33 / $188.38 / $501.86	Professional		$59.33	$188.38	$501.86
United Facility/Professional Facility Modifier Low / Median / High Price $1,079.00 / $2,884.00 / $4,840.00	Facility		$1,079.00	$2,884.00	$4,840.00
United Facility/Professional Professional Modifier Low / Median / High Price $144.13 / $199.28 / $422.53	Professional		$144.13	$199.28	$422.53
Univera Facility/Professional Facility Modifier Low / Median / High Price $59.27 / $59.27 / $250.37	Facility		$59.27	$59.27	$250.37
Univera Facility/Professional Professional Modifier Low / Median / High Price $131.06 / $192.73 / $339.99	Professional		$131.06	$192.73	$339.99