Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.33 / $2,660.00 / $7,839.00	Facility		$51.33	$2,660.00	$7,839.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.03 / $101.69 / $293.93	Professional		$37.03	$101.69	$293.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $52.35 / $52.35 / $52.35	Professional		$52.35	$52.35	$52.35
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 $103.17 / $136.13 / $390.13	Professional		$103.17	$136.13	$390.13
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $52.67 / $52.67 / $4,050.00	Facility		$52.67	$52.67	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $52.67 / $52.67 / $262.74	Professional		$52.67	$52.67	$262.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.62 / $62.62 / $14,648.00	Facility		$62.62	$62.62	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $129.63 / $416.21	Professional		$36.31	$129.63	$416.21
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $42.58 / $62.40 / $332.00	Facility		$42.58	$62.40	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $180.12 / $244.16 / $366.24	Professional		$180.12	$244.16	$366.24
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.26 / $227.75 / $374.23	Professional		$144.26	$227.75	$374.23
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $232.90 / $447.87 / $1,640.59	Facility		$232.90	$447.87	$1,640.59
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.98 / $70.31 / $210.55	Professional		$45.98	$70.31	$210.55
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $62.62 / $62.62 / $597.00	Facility		$62.62	$62.62	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $40.35 / $169.66 / $428.68	Professional		$40.35	$169.66	$428.68
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 $135.61 / $189.84 / $475.71	Professional		$135.61	$189.84	$475.71
Univera Facility/Professional Facility Modifier Low / Median / High Price $43.93 / $43.93 / $171.95	Facility		$43.93	$43.93	$171.95
Univera Facility/Professional Professional Modifier Low / Median / High Price $116.08 / $212.15 / $374.23	Professional		$116.08	$212.15	$374.23