Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $188.03 / $2,559.00 / $7,575.43	Facility		$188.03	$2,559.00	$7,575.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.68 / $194.93 / $481.81	Professional		$134.68	$194.93	$481.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $102.91 / $102.91 / $110.03	Professional		$102.91	$102.91	$110.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,393.00 / $4,142.00 / $9,074.00	Facility		$2,393.00	$4,142.00	$9,074.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $157.10 / $210.31 / $439.47	Professional		$157.10	$210.31	$439.47
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $228.56 / $1,254.00 / $4,050.00	Facility		$228.56	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $228.56 / $228.56 / $319.27	Professional		$228.56	$228.56	$319.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $278.76 / $278.76 / $278.76	Facility		$278.76	$278.76	$278.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.05 / $250.89 / $567.47	Professional		$135.05	$250.89	$567.47
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $123.00 / $212.79 / $437.20	Facility		$123.00	$212.79	$437.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $264.00 / $306.00 / $646.77	Professional		$264.00	$306.00	$646.77
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.07 / $208.77 / $414.79	Professional		$164.07	$208.77	$414.79
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $743.26 / $1,667.18 / $3,212.99	Facility		$743.26	$1,667.18	$3,212.99
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $219.98 / $256.22 / $393.70	Professional		$219.98	$256.22	$393.70
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $278.76 / $555.00 / $74,999.25	Facility		$278.76	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $155.72 / $280.12 / $624.70	Professional		$155.72	$280.12	$624.70
United Facility/Professional Facility Modifier Low / Median / High Price $1,764.00 / $3,961.00 / $8,312.00	Facility		$1,764.00	$3,961.00	$8,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $149.84 / $258.31 / $567.04	Professional		$149.84	$258.31	$567.04
Univera Facility/Professional Facility Modifier Low / Median / High Price $177.23 / $177.23 / $501.84	Facility		$177.23	$177.23	$501.84
Univera Facility/Professional Professional Modifier Low / Median / High Price $164.07 / $240.99 / $522.04	Professional		$164.07	$240.99	$522.04