Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.01 / $111.90 / $2,120.23	Facility		$69.01	$111.90	$2,120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $89.21 / $206.80	Professional		$61.44	$89.21	$206.80
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $277.14 / $277.14 / $281.99	Professional	50	$277.14	$277.14	$281.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.29 / $81.09 / $129.77	Professional		$57.29	$81.09	$129.77
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 $68.34 / $88.17 / $206.05	Professional		$68.34	$88.17	$206.05
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $104.30 / $131.08 / $302.70	Professional	50	$104.30	$131.08	$302.70
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $87.11 / $87.11 / $6,213.00	Facility		$87.11	$87.11	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $87.11 / $87.11 / $121.48	Professional		$87.11	$87.11	$121.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.72 / $106.72 / $14,648.00	Facility		$106.72	$106.72	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.03 / $114.41 / $291.58	Professional		$66.03	$114.41	$291.58
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $77.20 / $332.00	Facility		$35.00	$77.20	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $98.47 / $140.05 / $226.97	Professional		$98.47	$140.05	$226.97
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $84.56 / $84.56 / $84.56	Facility		$84.56	$84.56	$84.56
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.42 / $106.50 / $187.87	Professional		$72.42	$106.50	$187.87
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $95.55 / $95.55 / $95.55	Professional		$95.55	$95.55	$95.55
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.20 / $113.38 / $152.21	Professional		$85.20	$113.38	$152.21
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $106.72 / $555.00 / $597.00	Facility		$106.72	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $70.15 / $119.49 / $289.07	Professional		$70.15	$119.49	$289.07
United Facility/Professional Facility Modifier Low / Median / High Price $646.00 / $2,705.00 / $4,840.00	Facility		$646.00	$2,705.00	$4,840.00
United Facility/Professional Professional Modifier Low / Median / High Price $75.16 / $107.24 / $274.19	Professional		$75.16	$107.24	$274.19
Univera Facility/Professional Facility Modifier Low / Median / High Price $74.91 / $74.91 / $276.14	Facility		$74.91	$74.91	$276.14
Univera Facility/Professional Professional Modifier Low / Median / High Price $73.17 / $117.85 / $187.87	Professional		$73.17	$117.85	$187.87