Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.78 / $1,837.00 / $7,521.00	Facility		$89.78	$1,837.00	$7,521.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.06 / $89.01 / $180.89	Professional		$65.06	$89.01	$180.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.02 / $79.02 / $81.56	Professional		$79.02	$79.02	$81.56
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 $78.19 / $97.10 / $193.87	Professional		$78.19	$97.10	$193.87
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $117.29 / $145.66 / $290.83	Professional	50	$117.29	$145.66	$290.83
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $94.38 / $1,254.00 / $4,050.00	Facility		$94.38	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $94.38 / $94.38 / $125.89	Professional		$94.38	$94.38	$125.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.70 / $115.70 / $14,648.00	Facility		$115.70	$115.70	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.18 / $119.11 / $316.58	Professional		$71.18	$119.11	$316.58
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $89.53 / $332.00	Facility		$45.00	$89.53	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $99.84 / $136.74 / $200.08	Professional		$99.84	$136.74	$200.08
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.74 / $85.74 / $85.74	Facility		$85.74	$85.74	$85.74
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.05 / $106.35 / $193.17	Professional		$73.05	$106.35	$193.17
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.03 / $125.03 / $125.03	Professional		$125.03	$125.03	$125.03
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $115.70 / $555.00 / $36,596.00	Facility		$115.70	$555.00	$36,596.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $77.13 / $124.32 / $316.58	Professional		$77.13	$124.32	$316.58
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 $78.41 / $119.62 / $274.60	Professional		$78.41	$119.62	$274.60
Univera Facility/Professional Facility Modifier Low / Median / High Price $78.73 / $78.73 / $225.17	Facility		$78.73	$78.73	$225.17
Univera Facility/Professional Professional Modifier Low / Median / High Price $74.47 / $117.57 / $193.17	Professional		$74.47	$117.57	$193.17