Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.06 / $2,792.00 / $6,962.00	Facility		$142.06	$2,792.00	$6,962.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.34 / $144.72 / $497.25	Professional		$77.34	$144.72	$497.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.88 / $83.66 / $172.66	Professional		$77.88	$83.66	$172.66
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 $112.78 / $159.83 / $353.93	Professional		$112.78	$159.83	$353.93
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $161.76 / $161.76 / $4,050.00	Facility		$161.76	$161.76	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $161.76 / $161.76 / $244.36	Professional		$161.76	$161.76	$244.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.21 / $194.21 / $194.21	Facility		$194.21	$194.21	$194.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.39 / $187.64 / $408.52	Professional		$97.39	$187.64	$408.52
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $91.00 / $157.43 / $332.00	Facility		$91.00	$157.43	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $36.00 / $180.38 / $362.52	Professional		$36.00	$180.38	$362.52
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.01 / $159.52 / $318.52	Professional		$126.01	$159.52	$318.52
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $97.77 / $97.77 / $97.77	Professional		$97.77	$97.77	$97.77
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $387.67 / $1,069.59 / $3,316.80	Facility		$387.67	$1,069.59	$3,316.80
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $159.52 / $199.31 / $317.13	Professional		$159.52	$199.31	$317.13
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $194.21 / $555.00 / $74,999.25	Facility		$194.21	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $114.66 / $211.02 / $465.10	Professional		$114.66	$211.02	$465.10
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 $109.69 / $196.61 / $433.65	Professional		$109.69	$196.61	$433.65
Univera Facility/Professional Facility Modifier Low / Median / High Price $124.85 / $124.85 / $372.61	Facility		$124.85	$124.85	$372.61
Univera Facility/Professional Professional Modifier Low / Median / High Price $126.01 / $185.06 / $367.74	Professional		$126.01	$185.06	$367.74