Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.15 / $2,985.00 / $7,227.91	Facility		$106.15	$2,985.00	$7,227.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.20 / $112.06 / $311.55	Professional		$69.20	$112.06	$311.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $120.50 / $120.50 / $120.50	Professional		$120.50	$120.50	$120.50
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 $80.77 / $108.38 / $250.90	Professional		$80.77	$108.38	$250.90
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $116.45 / $116.45 / $4,050.00	Facility		$116.45	$116.45	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $116.45 / $116.45 / $181.86	Professional		$116.45	$116.45	$181.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.02 / $141.02 / $141.02	Facility		$141.02	$141.02	$141.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.73 / $138.19 / $302.98	Professional		$69.73	$138.19	$302.98
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $111.24 / $332.00	Facility		$60.00	$111.24	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $115.63 / $256.23	Professional		$24.00	$115.63	$256.23
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.57 / $118.45 / $237.22	Professional		$101.57	$118.45	$237.22
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $253.68 / $807.36 / $1,183.67	Facility		$253.68	$807.36	$1,183.67
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.09 / $148.34 / $234.61	Professional		$126.09	$148.34	$234.61
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $141.02 / $555.00 / $74,999.25	Facility		$141.02	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $80.90 / $155.69 / $332.40	Professional		$80.90	$155.69	$332.40
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 $84.21 / $145.54 / $314.93	Professional		$84.21	$145.54	$314.93
Univera Facility/Professional Facility Modifier Low / Median / High Price $91.07 / $91.07 / $244.39	Facility		$91.07	$91.07	$244.39
Univera Facility/Professional Professional Modifier Low / Median / High Price $95.05 / $137.83 / $271.02	Professional		$95.05	$137.83	$271.02