Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.30 / $2,660.00 / $10,517.90	Facility		$101.30	$2,660.00	$10,517.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.81 / $99.09 / $242.34	Professional		$65.81	$99.09	$242.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $135.58 / $135.58 / $135.58	Professional		$135.58	$135.58	$135.58
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 $85.00 / $104.71 / $217.61	Professional		$85.00	$104.71	$217.61
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $99.72 / $99.72 / $4,050.00	Facility		$99.72	$99.72	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $99.72 / $99.72 / $131.22	Professional		$99.72	$99.72	$131.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $118.00 / $118.00 / $14,648.00	Facility		$118.00	$118.00	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.47 / $131.86 / $334.05	Professional		$78.47	$131.86	$334.05
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $73.26 / $115.65 / $332.00	Facility		$73.26	$115.65	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $99.37 / $142.61 / $210.43	Professional		$99.37	$142.61	$210.43
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $86.66 / $86.66 / $86.66	Facility		$86.66	$86.66	$86.66
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.14 / $91.94 / $196.48	Professional		$78.14	$91.94	$196.48
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $198.50 / $198.50 / $1,938.80	Facility		$198.50	$198.50	$1,938.80
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $220.66 / $220.66 / $220.66	Professional		$220.66	$220.66	$220.66
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $118.00 / $555.00 / $36,596.00	Facility		$118.00	$555.00	$36,596.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $74.53 / $133.30 / $338.94	Professional		$74.53	$133.30	$338.94
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 $81.86 / $126.98 / $285.11	Professional		$81.86	$126.98	$285.11
Univera Facility/Professional Facility Modifier Low / Median / High Price $80.56 / $80.56 / $193.78	Facility		$80.56	$80.56	$193.78
Univera Facility/Professional Professional Modifier Low / Median / High Price $86.66 / $115.84 / $196.48	Professional		$86.66	$115.84	$196.48