Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.29 / $2,626.00 / $7,185.00	Facility		$168.29	$2,626.00	$7,185.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.45 / $171.68 / $496.54	Professional		$90.45	$171.68	$496.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $92.21 / $92.21 / $196.72	Professional		$92.21	$92.21	$196.72
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 $142.87 / $183.13 / $387.55	Professional		$142.87	$183.13	$387.55
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $207.28 / $207.28 / $4,050.00	Facility		$207.28	$207.28	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $207.28 / $207.28 / $280.81	Professional		$207.28	$207.28	$280.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $252.61 / $252.61 / $252.61	Facility		$252.61	$252.61	$252.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.92 / $223.60 / $525.66	Professional		$118.92	$223.60	$525.66
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $110.00 / $190.30 / $395.53	Facility		$110.00	$190.30	$395.53
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $54.00 / $194.25 / $398.12	Professional		$54.00	$194.25	$398.12
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.41 / $184.33 / $366.86	Professional		$144.41	$184.33	$366.86
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $276.76 / $906.46 / $2,843.56	Facility		$276.76	$906.46	$2,843.56
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $184.33 / $229.05 / $368.66	Professional		$184.33	$229.05	$368.66
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $252.61 / $555.00 / $74,999.25	Facility		$252.61	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $137.44 / $245.42 / $550.47	Professional		$137.44	$245.42	$550.47
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 $131.57 / $223.59 / $500.42	Professional		$131.57	$223.59	$500.42
Univera Facility/Professional Facility Modifier Low / Median / High Price $161.41 / $161.41 / $448.52	Facility		$161.41	$161.41	$448.52
Univera Facility/Professional Professional Modifier Low / Median / High Price $144.41 / $213.14 / $467.60	Professional		$144.41	$213.14	$467.60