Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.41 / $2,303.00 / $7,307.00	Facility		$57.41	$2,303.00	$7,307.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.42 / $101.65 / $239.63	Professional		$38.42	$101.65	$239.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $97.12 / $97.12 / $172.07	Professional		$97.12	$97.12	$172.07
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 $68.25 / $119.61 / $255.14	Professional		$68.25	$119.61	$255.14
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $56.66 / $56.66 / $4,050.00	Facility		$56.66	$56.66	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $56.66 / $56.66 / $170.77	Professional		$56.66	$56.66	$170.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.44 / $69.44 / $103.00	Facility		$69.44	$69.44	$103.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.32 / $121.25 / $363.40	Professional		$44.32	$121.25	$363.40
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $63.89 / $332.00	Facility		$35.00	$63.89	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $119.32 / $154.61 / $229.36	Professional		$119.32	$154.61	$229.36
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $105.64 / $105.64 / $105.64	Facility		$105.64	$105.64	$105.64
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.22 / $121.49 / $217.50	Professional		$70.22	$121.49	$217.50
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $101.46 / $137.51 / $140.37	Professional		$101.46	$137.51	$140.37
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.42 / $0.42 / $0.42	Facility		$0.42	$0.42	$0.42
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.64 / $152.72 / $203.16	Professional		$105.64	$152.72	$203.16
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $69.44 / $69.44 / $8,498.00	Facility		$69.44	$69.44	$8,498.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $49.34 / $133.40 / $334.67	Professional		$49.34	$133.40	$334.67
United Facility/Professional Facility Modifier Low / Median / High Price $671.00 / $2,597.00 / $4,840.00	Facility		$671.00	$2,597.00	$4,840.00
United Facility/Professional Professional Modifier Low / Median / High Price $83.15 / $116.24 / $269.20	Professional		$83.15	$116.24	$269.20
Univera Facility/Professional Facility Modifier Low / Median / High Price $49.32 / $49.32 / $118.61	Facility		$49.32	$49.32	$118.61
Univera Facility/Professional Professional Modifier Low / Median / High Price $70.22 / $130.32 / $222.53	Professional		$70.22	$130.32	$222.53