Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.98 / $2,952.00 / $9,267.00	Facility		$81.98	$2,952.00	$9,267.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.18 / $103.80 / $255.79	Professional		$54.18	$103.80	$255.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $127.56 / $127.56 / $138.30	Professional		$127.56	$127.56	$138.30
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 $62.60 / $111.87 / $260.95	Professional		$62.60	$111.87	$260.95
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $84.80 / $84.80 / $4,050.00	Facility		$84.80	$84.80	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $84.80 / $84.80 / $200.82	Professional		$84.80	$84.80	$200.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $101.38 / $101.38 / $14,648.00	Facility		$101.38	$101.38	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.30 / $118.91 / $283.08	Professional		$58.30	$118.91	$283.08
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $78.18 / $332.00	Facility		$45.00	$78.18	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $85.57 / $270.14	Professional		$33.11	$85.57	$270.14
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.34 / $129.96 / $253.10	Professional		$85.34	$129.96	$253.10
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $136.99 / $136.99 / $136.99	Professional		$136.99	$136.99	$136.99
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $653.98 / $653.98 / $653.98	Facility		$653.98	$653.98	$653.98
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.62 / $165.16 / $187.10	Professional		$119.62	$165.16	$187.10
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $101.38 / $555.00 / $74,999.25	Facility		$101.38	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $70.67 / $161.22 / $339.34	Professional		$70.67	$161.22	$339.34
United Facility/Professional Facility Modifier Low / Median / High Price $1,252.00 / $2,651.00 / $4,592.00	Facility		$1,252.00	$2,651.00	$4,592.00
United Facility/Professional Professional Modifier Low / Median / High Price $88.75 / $158.47 / $355.88	Professional		$88.75	$158.47	$355.88
Univera Facility/Professional Facility Modifier Low / Median / High Price $63.81 / $63.81 / $216.75	Facility		$63.81	$63.81	$216.75
Univera Facility/Professional Professional Modifier Low / Median / High Price $85.34 / $147.05 / $289.16	Professional		$85.34	$147.05	$289.16