Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.02 / $2,626.00 / $7,235.00	Facility		$93.02	$2,626.00	$7,235.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,691.52 / $1,691.52 / $1,691.52	Facility	50	$1,691.52	$1,691.52	$1,691.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.26 / $101.45 / $238.37	Professional		$64.26	$101.45	$238.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $82.91 / $82.91 / $82.91	Professional		$82.91	$82.91	$82.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $3,373.00 / $4,707.00	Facility		$1,689.00	$3,373.00	$4,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.68 / $96.02 / $263.24	Professional		$73.68	$96.02	$263.24
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $114.82 / $144.29 / $399.31	Professional	50	$114.82	$144.29	$399.31
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $81.27 / $81.27 / $4,050.00	Facility		$81.27	$81.27	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $81.27 / $81.27 / $126.15	Professional		$81.27	$81.27	$126.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.98 / $94.98 / $94.98	Facility		$94.98	$94.98	$94.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.02 / $137.34 / $334.86	Professional		$64.02	$137.34	$334.86
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $65.09 / $93.35 / $332.00	Facility		$65.09	$93.35	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $93.28 / $134.57 / $250.74	Professional		$93.28	$134.57	$250.74
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $80.09 / $80.09 / $80.09	Facility		$80.09	$80.09	$80.09
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.62 / $117.55 / $182.62	Professional		$72.62	$117.55	$182.62
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,534.88 / $2,534.88 / $2,534.88	Facility		$2,534.88	$2,534.88	$2,534.88
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $584.77 / $584.77 / $584.77	Facility	50	$584.77	$584.77	$584.77
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $94.98 / $555.00 / $597.00	Facility		$94.98	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $69.63 / $139.00 / $352.28	Professional		$69.63	$139.00	$352.28
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.00 / $3,496.00 / $6,201.00	Facility		$1,348.00	$3,496.00	$6,201.00
United Facility/Professional Professional Modifier Low / Median / High Price $78.76 / $119.77 / $287.43	Professional		$78.76	$119.77	$287.43
Univera Facility/Professional Facility Modifier Low / Median / High Price $64.48 / $64.48 / $330.05	Facility		$64.48	$64.48	$330.05
Univera Facility/Professional Professional Modifier Low / Median / High Price $80.09 / $117.55 / $182.62	Professional		$80.09	$117.55	$182.62