Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.44 / $2,792.00 / $7,235.00	Facility		$83.44	$2,792.00	$7,235.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.21 / $131.16 / $298.69	Professional		$52.21	$131.16	$298.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $144.66 / $144.66 / $144.66	Professional		$144.66	$144.66	$144.66
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 $60.97 / $163.53 / $327.02	Professional		$60.97	$163.53	$327.02
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $81.37 / $81.37 / $4,050.00	Facility		$81.37	$81.37	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $81.37 / $81.37 / $224.13	Professional		$81.37	$81.37	$224.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.88 / $95.88 / $95.88	Facility		$95.88	$95.88	$95.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.15 / $133.31 / $308.25	Professional		$59.15	$133.31	$308.25
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $38.40 / $73.68 / $332.00	Facility		$38.40	$73.68	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $179.22 / $207.74 / $436.55	Professional		$179.22	$207.74	$436.55
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.06 / $142.94 / $286.22	Professional		$126.06	$142.94	$286.22
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $852.73 / $860.01 / $1,970.72	Facility		$852.73	$860.01	$1,970.72
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $182.80 / $182.80 / $194.90	Professional		$182.80	$182.80	$194.90
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $95.88 / $555.00 / $74,999.25	Facility		$95.88	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $69.58 / $176.79 / $359.70	Professional		$69.58	$176.79	$359.70
United Facility/Professional Facility Modifier Low / Median / High Price $1,336.00 / $3,496.00 / $5,963.00	Facility		$1,336.00	$3,496.00	$5,963.00
United Facility/Professional Professional Modifier Low / Median / High Price $95.84 / $166.95 / $365.13	Professional		$95.84	$166.95	$365.13
Univera Facility/Professional Facility Modifier Low / Median / High Price $60.38 / $60.38 / $77.93	Facility		$60.38	$60.38	$77.93
Univera Facility/Professional Professional Modifier Low / Median / High Price $82.49 / $153.06 / $327.01	Professional		$82.49	$153.06	$327.01