Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.39 / $2,518.00 / $9,290.90	Facility		$53.39	$2,518.00	$9,290.90
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $51.00 / $51.00 / $51.00	Facility	50	$51.00	$51.00	$51.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.32 / $51.17 / $125.97	Professional		$33.32	$51.17	$125.97
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $64.14 / $65.00 / $164.19	Professional	50	$64.14	$65.00	$164.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.28 / $44.28 / $46.45	Professional		$44.28	$44.28	$46.45
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 $42.46 / $52.33 / $108.32	Professional		$42.46	$52.33	$108.32
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $63.71 / $80.06 / $162.58	Professional	50	$63.71	$80.06	$162.58
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $47.97 / $1,254.00 / $4,050.00	Facility		$47.97	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $47.97 / $47.97 / $68.98	Professional		$47.97	$47.97	$68.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.28 / $57.28 / $14,648.00	Facility		$57.28	$57.28	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.35 / $65.93 / $165.92	Professional		$36.35	$65.93	$165.92
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $28.00 / $48.44 / $332.00	Facility		$28.00	$48.44	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $54.29 / $73.63 / $107.52	Professional		$54.29	$73.63	$107.52
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.62 / $46.62 / $46.62	Facility		$46.62	$46.62	$46.62
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.99 / $58.54 / $106.34	Professional		$40.99	$58.54	$106.34
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.82 / $315.33 / $388.16	Facility		$54.82	$315.33	$388.16
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $101.52 / $101.52 / $101.52	Facility	50	$101.52	$101.52	$101.52
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $65.27 / $70.78	Professional		$47.86	$65.27	$70.78
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $79.76 / $79.76 / $83.91	Professional	50	$79.76	$79.76	$83.91
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $57.28 / $555.00 / $36,596.00	Facility		$57.28	$555.00	$36,596.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $39.47 / $67.66 / $168.01	Professional		$39.47	$67.66	$168.01
United Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,826.00 / $4,851.00	Facility		$964.00	$2,826.00	$4,851.00
United Facility/Professional Professional Modifier Low / Median / High Price $43.30 / $64.95 / $149.49	Professional		$43.30	$64.95	$149.49
Univera Facility/Professional Facility Modifier Low / Median / High Price $38.99 / $38.99 / $123.12	Facility		$38.99	$38.99	$123.12
Univera Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $63.93 / $106.34	Professional		$44.67	$63.93	$106.34