Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.46 / $214.86 / $2,455.00	Facility		$57.46	$214.86	$2,455.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.66 / $73.01 / $193.14	Professional		$45.66	$73.01	$193.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.78 / $67.06 / $104.58	Professional		$46.78	$67.06	$104.58
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 $55.15 / $71.52 / $161.51	Professional		$55.15	$71.52	$161.51
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $84.61 / $105.07 / $242.26	Professional	50	$84.61	$105.07	$242.26
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $68.80 / $68.80 / $4,050.00	Facility		$68.80	$68.80	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $68.80 / $68.80 / $98.88	Professional		$68.80	$68.80	$98.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.93 / $84.93 / $14,648.00	Facility		$84.93	$84.93	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.67 / $89.08 / $219.88	Professional		$53.67	$89.08	$219.88
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $77.58 / $332.00	Facility		$50.00	$77.58	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $81.20 / $114.43 / $168.49	Professional		$81.20	$114.43	$168.49
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.73 / $69.73 / $69.73	Facility		$69.73	$69.73	$69.73
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.09 / $74.65 / $154.91	Professional		$58.09	$74.65	$154.91
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $44.43 / $44.43 / $87.30	Professional		$44.43	$44.43	$87.30
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.47 / $219.68 / $448.80	Facility		$134.47	$219.68	$448.80
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.55 / $85.31 / $126.85	Professional		$82.55	$85.31	$126.85
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $84.93 / $555.00 / $597.00	Facility		$84.93	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $56.93 / $92.97 / $219.00	Professional		$56.93	$92.97	$219.00
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 $62.30 / $87.94 / $217.77	Professional		$62.30	$87.94	$217.77
Univera Facility/Professional Facility Modifier Low / Median / High Price $59.79 / $59.79 / $226.01	Facility		$59.79	$59.79	$226.01
Univera Facility/Professional Professional Modifier Low / Median / High Price $59.72 / $91.34 / $154.91	Professional		$59.72	$91.34	$154.91