Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.59 / $1,499.00 / $6,962.00	Facility		$78.59	$1,499.00	$6,962.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.87 / $100.91 / $185.24	Professional		$49.87	$100.91	$185.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $149.44 / $149.44 / $160.97	Professional		$149.44	$149.44	$160.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,655.00 / $3,280.00 / $4,707.00	Facility		$1,655.00	$3,280.00	$4,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.01 / $87.65 / $208.40	Professional		$69.01	$87.65	$208.40
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $61.58 / $61.58 / $4,050.00	Facility		$61.58	$61.58	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $61.58 / $61.58 / $125.56	Professional		$61.58	$61.58	$125.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Facility		$75.00	$75.00	$75.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.54 / $123.37 / $281.47	Professional		$53.54	$123.37	$281.47
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $67.34 / $332.00	Facility		$35.00	$67.34	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $79.37 / $134.68 / $172.11	Professional		$79.37	$134.68	$172.11
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $82.55 / $82.55 / $82.55	Facility		$82.55	$82.55	$82.55
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.86 / $129.61 / $186.79	Professional		$78.86	$129.61	$186.79
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $929.82 / $2,148.89	Facility		$50.00	$929.82	$2,148.89
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $75.00 / $597.00	Facility		$75.00	$75.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $65.86 / $121.65 / $282.14	Professional		$65.86	$121.65	$282.14
United Facility/Professional Facility Modifier Low / Median / High Price $767.00 / $2,739.00 / $4,840.00	Facility		$767.00	$2,739.00	$4,840.00
United Facility/Professional Professional Modifier Low / Median / High Price $74.11 / $103.07 / $229.78	Professional		$74.11	$103.07	$229.78
Univera Facility/Professional Facility Modifier Low / Median / High Price $55.93 / $55.93 / $362.70	Facility		$55.93	$55.93	$362.70
Univera Facility/Professional Professional Modifier Low / Median / High Price $82.55 / $119.39 / $178.47	Professional		$82.55	$119.39	$178.47