Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.75 / $1,909.75 / $7,185.00	Facility		$129.75	$1,909.75	$7,185.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.89 / $138.71 / $403.89	Professional		$82.89	$138.71	$403.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $142.19 / $142.19 / $142.19	Professional		$142.19	$142.19	$142.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,691.00 / $3,382.00 / $4,707.00	Facility		$1,691.00	$3,382.00	$4,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.17 / $126.89 / $298.31	Professional		$96.17	$126.89	$298.31
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $146.47 / $146.47 / $4,050.00	Facility		$146.47	$146.47	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $146.47 / $146.47 / $216.18	Professional		$146.47	$146.47	$216.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $176.29 / $176.29 / $14,648.00	Facility		$176.29	$176.29	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.43 / $178.64 / $383.34	Professional		$97.43	$178.64	$383.34
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $57.00 / $128.94 / $332.00	Facility		$57.00	$128.94	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $11.04 / $94.82 / $302.27	Professional		$11.04	$94.82	$302.27
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.09 / $140.63 / $281.75	Professional		$124.09	$140.63	$281.75
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $177.85 / $663.10 / $954.65	Facility		$177.85	$663.10	$954.65
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.83 / $179.79 / $308.32	Professional		$152.83	$179.79	$308.32
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $176.29 / $555.00 / $74,999.25	Facility		$176.29	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $104.29 / $190.02 / $407.72	Professional		$104.29	$190.02	$407.72
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 $95.85 / $171.21 / $364.01	Professional		$95.85	$171.21	$364.01
Univera Facility/Professional Facility Modifier Low / Median / High Price $114.10 / $114.10 / $315.33	Facility		$114.10	$114.10	$315.33
Univera Facility/Professional Professional Modifier Low / Median / High Price $114.10 / $163.69 / $336.11	Professional		$114.10	$163.69	$336.11