Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.87 / $117.15 / $450.00	Facility		$28.87	$117.15	$450.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $248.86 / $590.52 / $993.55	Facility	50	$248.86	$590.52	$993.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.21 / $61.94 / $135.37	Professional		$20.21	$61.94	$135.37
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $43.08 / $137.72 / $237.85	Professional	50	$43.08	$137.72	$237.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.79 / $56.06 / $74.73	Professional		$23.79	$56.06	$74.73
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 $34.78 / $91.80 / $173.18	Professional		$34.78	$91.80	$173.18
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $66.28 / $137.71 / $261.95	Professional	50	$66.28	$137.71	$261.95
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $39.34 / $39.34 / $16,534.50	Facility		$39.34	$39.34	$16,534.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $39.34 / $39.34 / $127.67	Professional		$39.34	$39.34	$127.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.65 / $45.65 / $14,648.00	Facility		$45.65	$45.65	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.25 / $89.60 / $218.83	Professional		$26.25	$89.60	$218.83
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $27.15 / $42.41 / $332.00	Facility		$27.15	$42.41	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $80.38 / $124.64 / $190.92	Professional		$80.38	$124.64	$190.92
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.04 / $81.04 / $81.04	Facility		$81.04	$81.04	$81.04
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.73 / $105.43 / $185.98	Professional		$57.73	$105.43	$185.98
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $122.87 / $211.78 / $360.38	Facility		$122.87	$211.78	$360.38
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $181.68 / $397.87 / $1,113.58	Facility	50	$181.68	$397.87	$1,113.58
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.33 / $122.33 / $123.68	Professional		$122.33	$122.33	$123.68
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $183.50 / $183.50 / $183.50	Professional	50	$183.50	$183.50	$183.50
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $45.65 / $555.00 / $597.00	Facility		$45.65	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $29.32 / $100.02 / $225.96	Professional		$29.32	$100.02	$225.96
United Facility/Professional Facility Modifier Low / Median / High Price $457.36 / $2,705.00 / $4,840.00	Facility		$457.36	$2,705.00	$4,840.00
United Facility/Professional Professional Modifier Low / Median / High Price $77.92 / $109.01 / $272.35	Professional		$77.92	$109.01	$272.35
Univera Facility/Professional Facility Modifier Low / Median / High Price $32.38 / $32.38 / $81.04	Facility		$32.38	$32.38	$81.04
Univera Facility/Professional Professional Modifier Low / Median / High Price $71.69 / $105.43 / $185.98	Professional		$71.69	$105.43	$185.98