Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.41 / $121.85 / $1,031.61	Facility		$77.41	$121.85	$1,031.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.56 / $98.26 / $267.63	Professional		$62.56	$98.26	$267.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.11 / $89.11 / $187.67	Professional		$89.11	$89.11	$187.67
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 $76.88 / $97.80 / $215.65	Professional		$76.88	$97.80	$215.65
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $94.87 / $94.87 / $6,213.00	Facility		$94.87	$94.87	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $94.87 / $94.87 / $133.06	Professional		$94.87	$94.87	$133.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.28 / $115.28 / $14,648.00	Facility		$115.28	$115.28	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.70 / $121.28 / $322.64	Professional		$72.70	$121.28	$322.64
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $83.41 / $332.00	Facility		$35.00	$83.41	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $108.32 / $153.36 / $226.00	Professional		$108.32	$153.36	$226.00
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.02 / $93.02 / $93.02	Facility		$93.02	$93.02	$93.02
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.75 / $117.98 / $208.13	Professional		$78.75	$117.98	$208.13
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $429.99 / $443.24	Facility		$45.00	$429.99	$443.24
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.98 / $114.22 / $134.37	Professional		$112.98	$114.22	$134.37
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $115.28 / $555.00 / $597.00	Facility		$115.28	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $77.31 / $127.53 / $307.26	Professional		$77.31	$127.53	$307.26
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 $83.39 / $119.30 / $300.74	Professional		$83.39	$119.30	$300.74
Univera Facility/Professional Facility Modifier Low / Median / High Price $81.66 / $81.66 / $309.24	Facility		$81.66	$81.66	$309.24
Univera Facility/Professional Professional Modifier Low / Median / High Price $78.75 / $129.63 / $208.13	Professional		$78.75	$129.63	$208.13