Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.01 / $2,559.00 / $8,134.00	Facility		$29.01	$2,559.00	$8,134.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.73 / $44.31 / $78.73	Professional		$19.73	$44.31	$78.73
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $14.55 / $28.28 / $67.09	Professional	50	$14.55	$28.28	$67.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.78 / $15.78 / $15.78	Professional		$15.78	$15.78	$15.78
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 $16.14 / $21.12 / $97.79	Professional		$16.14	$21.12	$97.79
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $24.23 / $31.68 / $146.68	Professional	50	$24.23	$31.68	$146.68
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $31.55 / $31.55 / $4,050.00	Facility		$31.55	$31.55	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $29.64 / $29.64 / $31.55	Professional		$29.64	$29.64	$31.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.22 / $21.22 / $14,648.00	Facility		$21.22	$21.22	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.80 / $43.65 / $96.84	Professional		$17.80	$43.65	$96.84
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $26.05 / $38.50 / $332.00	Facility		$26.05	$38.50	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $21.41 / $25.38 / $39.04	Professional		$21.41	$25.38	$39.04
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.57 / $28.30 / $41.87	Professional		$17.57	$28.30	$41.87
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $22.46 / $22.46 / $22.46	Professional		$22.46	$22.46	$22.46
Fidelis Facility/Professional Professional Modifier 50 Low / Median / High Price $29.01 / $29.01 / $32.76	Professional	50	$29.01	$29.01	$32.76
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.57 / $26.30 / $27.95	Professional		$17.57	$26.30	$27.95
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $39.45 / $39.45 / $41.69	Professional	50	$39.45	$39.45	$41.69
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $21.22 / $555.00 / $74,999.25	Facility		$21.22	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $20.80 / $40.32 / $103.43	Professional		$20.80	$40.32	$103.43
United Facility/Professional Facility Modifier Low / Median / High Price $767.00 / $2,744.00 / $4,840.00	Facility		$767.00	$2,744.00	$4,840.00
United Facility/Professional Professional Modifier Low / Median / High Price $20.80 / $32.04 / $79.69	Professional		$20.80	$32.04	$79.69
Univera Facility/Professional Facility Modifier Low / Median / High Price $30.19 / $30.19 / $193.10	Facility		$30.19	$30.19	$193.10
Univera Facility/Professional Professional Modifier Low / Median / High Price $17.18 / $28.30 / $56.14	Professional		$17.18	$28.30	$56.14