Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.40 / $3,158.00 / $9,606.33	Facility		$69.40	$3,158.00	$9,606.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.14 / $124.11 / $250.64	Professional		$50.14	$124.11	$250.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.00 / $32.00 / $32.00	Professional		$32.00	$32.00	$32.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,079.00 / $7,264.00 / $12,538.00	Facility		$4,079.00	$7,264.00	$12,538.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.86 / $138.27 / $368.27	Professional		$106.86	$138.27	$368.27
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $68.75 / $68.75 / $10,957.50	Facility		$68.75	$68.75	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $68.75 / $68.75 / $184.77	Professional		$68.75	$68.75	$184.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.79 / $81.79 / $14,648.00	Facility		$81.79	$81.79	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.52 / $123.62 / $355.57	Professional		$48.52	$123.62	$355.57
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $40.00 / $69.20 / $332.00	Facility		$40.00	$69.20	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $117.14 / $158.80 / $238.19	Professional		$117.14	$158.80	$238.19
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.82 / $155.13 / $240.79	Professional		$104.82	$155.13	$240.79
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $704.97 / $704.97 / $844.50	Facility		$704.97	$704.97	$844.50
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.29 / $95.21 / $202.78	Professional		$55.29	$95.21	$202.78
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $81.79 / $81.79 / $597.00	Facility		$81.79	$81.79	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $52.90 / $151.44 / $385.34	Professional		$52.90	$151.44	$385.34
United Facility/Professional Facility Modifier Low / Median / High Price $1,079.00 / $2,884.00 / $4,840.00	Facility		$1,079.00	$2,884.00	$4,840.00
United Facility/Professional Professional Modifier Low / Median / High Price $113.30 / $169.15 / $382.12	Professional		$113.30	$169.15	$382.12
Univera Facility/Professional Facility Modifier Low / Median / High Price $59.95 / $59.95 / $197.12	Facility		$59.95	$59.95	$197.12
Univera Facility/Professional Professional Modifier Low / Median / High Price $119.10 / $148.88 / $240.79	Professional		$119.10	$148.88	$240.79