Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.94 / $3,317.00 / $9,038.00	Facility		$44.94	$3,317.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.48 / $41.65 / $89.84	Professional		$31.48	$41.65	$89.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.45 / $16.45 / $16.45	Professional		$16.45	$16.45	$16.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,691.00 / $3,333.00 / $4,636.00	Facility		$1,691.00	$3,333.00	$4,636.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.56 / $36.03 / $84.74	Professional		$27.56	$36.03	$84.74
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $49.25 / $49.25 / $4,050.00	Facility		$49.25	$49.25	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $49.25 / $49.25 / $49.25	Professional		$49.25	$49.25	$49.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.76 / $39.76 / $3,479.91	Facility		$39.76	$39.76	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.97 / $63.58 / $169.97	Professional		$26.97	$63.58	$169.97
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $38.97 / $58.47 / $332.00	Facility		$38.97	$58.47	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $39.61 / $47.56 / $69.72	Professional		$39.61	$47.56	$69.72
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.31 / $41.56 / $69.87	Professional		$28.31	$41.56	$69.87
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $963.43 / $963.43 / $963.43	Facility		$963.43	$963.43	$963.43
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $39.76 / $555.00 / $3,479.91	Facility		$39.76	$555.00	$3,479.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $35.75 / $65.38 / $154.99	Professional		$35.75	$65.38	$154.99
United Facility/Professional Facility Modifier Low / Median / High Price $1,079.00 / $2,826.00 / $4,851.00	Facility		$1,079.00	$2,826.00	$4,851.00
United Facility/Professional Professional Modifier Low / Median / High Price $28.92 / $44.33 / $110.07	Professional		$28.92	$44.33	$110.07
Univera Facility/Professional Facility Modifier Low / Median / High Price $37.67 / $37.67 / $126.95	Facility		$37.67	$37.67	$126.95
Univera Facility/Professional Professional Modifier Low / Median / High Price $28.31 / $45.03 / $88.51	Professional		$28.31	$45.03	$88.51