Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.61 / $2,611.00 / $7,235.00	Facility		$85.61	$2,611.00	$7,235.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.54 / $113.09 / $243.25	Professional		$46.54	$113.09	$243.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $110.79 / $110.79 / $110.79	Professional		$110.79	$110.79	$110.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,651.00 / $3,263.00 / $4,636.00	Facility		$1,651.00	$3,263.00	$4,636.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.97 / $110.68 / $299.20	Professional		$79.97	$110.68	$299.20
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $67.80 / $67.80 / $4,050.00	Facility		$67.80	$67.80	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $67.80 / $67.80 / $187.64	Professional		$67.80	$67.80	$187.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $82.34 / $82.34 / $3,479.91	Facility		$82.34	$82.34	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.59 / $143.86 / $402.01	Professional		$50.59	$143.86	$402.01
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $43.00 / $76.12 / $332.00	Facility		$43.00	$76.12	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $54.94 / $135.09 / $251.33	Professional		$54.94	$135.09	$251.33
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $119.51 / $119.51 / $482.13	Facility		$119.51	$119.51	$482.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.93 / $169.71 / $236.76	Professional		$86.93	$169.71	$236.76
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $118.20 / $118.20 / $118.20	Professional		$118.20	$118.20	$118.20
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.43 / $68.17 / $308.68	Professional		$67.43	$68.17	$308.68
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $82.34 / $555.00 / $5,855.00	Facility		$82.34	$555.00	$5,855.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $57.75 / $161.03 / $381.98	Professional		$57.75	$161.03	$381.98
United Facility/Professional Facility Modifier Low / Median / High Price $951.00 / $3,146.00 / $5,807.00	Facility		$951.00	$3,146.00	$5,807.00
United Facility/Professional Professional Modifier Low / Median / High Price $99.12 / $144.55 / $344.26	Professional		$99.12	$144.55	$344.26
Univera Facility/Professional Facility Modifier Low / Median / High Price $69.78 / $69.78 / $373.45	Facility		$69.78	$69.78	$373.45
Univera Facility/Professional Professional Modifier Low / Median / High Price $86.93 / $171.09 / $256.02	Professional		$86.93	$171.09	$256.02