Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.34 / $43.12 / $1,791.35	Facility		$21.34	$43.12	$1,791.35
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,714.61 / $1,714.61 / $1,714.61	Facility	50	$1,714.61	$1,714.61	$1,714.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $29.07 / $58.19	Professional		$17.78	$29.07	$58.19
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $48.35 / $68.11 / $88.78	Professional	50	$48.35	$68.11	$88.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.97 / $26.67 / $30.93	Professional		$24.97	$26.67	$30.93
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 $21.73 / $28.41 / $69.56	Professional		$21.73	$28.41	$69.56
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $32.60 / $41.33 / $102.49	Professional	50	$32.60	$41.33	$102.49
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $25.30 / $25.30 / $4,050.00	Facility		$25.30	$25.30	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $25.30 / $25.30 / $39.61	Professional		$25.30	$25.30	$39.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.07 / $30.07 / $14,648.00	Facility		$30.07	$30.07	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.42 / $39.07 / $94.93	Professional		$18.42	$39.07	$94.93
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $28.80 / $332.00	Facility		$20.00	$28.80	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $32.79 / $44.57 / $61.72	Professional		$32.79	$44.57	$61.72
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.53 / $26.53 / $26.53	Facility		$26.53	$26.53	$26.53
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.53 / $37.72 / $59.49	Professional		$25.53	$37.72	$59.49
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $21.22 / $22.67 / $25.26	Professional		$21.22	$22.67	$25.26
Fidelis Facility/Professional Professional Modifier 50 Low / Median / High Price $22.91 / $52.77 / $52.77	Professional	50	$22.91	$52.77	$52.77
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.82 / $40.25 / $43.48	Professional		$28.82	$40.25	$43.48
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $48.03 / $48.03 / $48.56	Professional	50	$48.03	$48.03	$48.56
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $30.07 / $555.00 / $597.00	Facility		$30.07	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $20.14 / $40.85 / $99.24	Professional		$20.14	$40.85	$99.24
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 $25.52 / $35.54 / $86.39	Professional		$25.52	$35.54	$86.39
Univera Facility/Professional Facility Modifier Low / Median / High Price $20.70 / $20.70 / $155.60	Facility		$20.70	$20.70	$155.60
Univera Facility/Professional Professional Modifier Low / Median / High Price $26.53 / $37.72 / $59.49	Professional		$26.53	$37.72	$59.49