Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.14 / $186.49 / $2,472.16	Facility		$60.14	$186.49	$2,472.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.70 / $84.00 / $210.42	Professional		$48.70	$84.00	$210.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.68 / $87.68 / $87.68	Professional		$87.68	$87.68	$87.68
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 $61.56 / $81.22 / $193.66	Professional		$61.56	$81.22	$193.66
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $59.48 / $59.48 / $4,050.00	Facility		$59.48	$59.48	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $59.48 / $59.48 / $114.87	Professional		$59.48	$59.48	$114.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.45 / $71.45 / $14,648.00	Facility		$71.45	$71.45	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.73 / $99.01 / $254.51	Professional		$50.73	$99.01	$254.51
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $49.00 / $70.58 / $332.00	Facility		$49.00	$70.58	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $92.10 / $130.75 / $192.88	Professional		$92.10	$130.75	$192.88
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.09 / $79.09 / $79.09	Facility		$79.09	$79.09	$79.09
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.23 / $100.55 / $177.37	Professional		$72.23	$100.55	$177.37
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.19 / $254.59 / $390.12	Facility		$151.19	$254.59	$390.12
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.34 / $98.26 / $145.58	Professional		$73.34	$98.26	$145.58
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $71.45 / $555.00 / $597.00	Facility		$71.45	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $104.42 / $255.95	Professional		$55.00	$104.42	$255.95
United Facility/Professional Facility Modifier Low / Median / High Price $1,252.00 / $2,671.00 / $4,715.00	Facility		$1,252.00	$2,671.00	$4,715.00
United Facility/Professional Professional Modifier Low / Median / High Price $71.83 / $103.46 / $256.02	Professional		$71.83	$103.46	$256.02
Univera Facility/Professional Facility Modifier Low / Median / High Price $49.61 / $49.61 / $242.63	Facility		$49.61	$49.61	$242.63
Univera Facility/Professional Professional Modifier Low / Median / High Price $72.65 / $105.47 / $177.37	Professional		$72.65	$105.47	$177.37