Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.87 / $2,736.00 / $9,868.00	Facility		$59.87	$2,736.00	$9,868.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.28 / $103.40 / $194.68	Professional		$39.28	$103.40	$194.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.58 / $24.58 / $24.58	Professional		$24.58	$24.58	$24.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,691.00 / $3,366.00 / $4,707.00	Facility		$1,691.00	$3,366.00	$4,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.95 / $103.58 / $280.48	Professional		$79.95	$103.58	$280.48
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $50.71 / $50.71 / $4,050.00	Facility		$50.71	$50.71	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $50.71 / $50.71 / $175.80	Professional		$50.71	$50.71	$175.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.84 / $59.84 / $3,479.91	Facility		$59.84	$59.84	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.22 / $110.94 / $297.77	Professional		$36.22	$110.94	$297.77
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $40.57 / $156.00 / $332.00	Facility		$40.57	$156.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $119.91 / $162.54 / $243.81	Professional		$119.91	$162.54	$243.81
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.25 / $159.28 / $248.94	Professional		$86.25	$159.28	$248.94
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $150.97 / $391.60 / $675.90	Facility		$150.97	$391.60	$675.90
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.52 / $67.73 / $192.94	Professional		$44.52	$67.73	$192.94
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $59.84 / $59.84 / $3,479.91	Facility		$59.84	$59.84	$3,479.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $39.89 / $134.34 / $307.36	Professional		$39.89	$134.34	$307.36
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 $113.00 / $149.66 / $346.15	Professional		$113.00	$149.66	$346.15
Univera Facility/Professional Facility Modifier Low / Median / High Price $44.69 / $44.69 / $415.08	Facility		$44.69	$44.69	$415.08
Univera Facility/Professional Professional Modifier Low / Median / High Price $86.25 / $145.85 / $248.94	Professional		$86.25	$145.85	$248.94