Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.90 / $3,297.67 / $8,907.44	Facility		$133.90	$3,297.67	$8,907.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.70 / $142.84 / $392.62	Professional		$91.70	$142.84	$392.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.28 / $74.28 / $158.01	Professional		$74.28	$74.28	$158.01
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 $106.35 / $147.18 / $312.93	Professional		$106.35	$147.18	$312.93
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $153.04 / $153.04 / $6,213.00	Facility		$153.04	$153.04	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $153.04 / $153.04 / $227.52	Professional		$153.04	$153.04	$227.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $183.87 / $183.87 / $183.87	Facility		$183.87	$183.87	$183.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.45 / $177.93 / $382.24	Professional		$96.45	$177.93	$382.24
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $89.00 / $153.97 / $332.00	Facility		$89.00	$153.97	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $185.90 / $215.48 / $451.52	Professional		$185.90	$215.48	$451.52
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.73 / $148.03 / $296.31	Professional		$120.73	$148.03	$296.31
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $181.20 / $814.90 / $1,725.26	Facility		$181.20	$814.90	$1,725.26
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $174.41 / $187.49 / $283.64	Professional		$174.41	$187.49	$283.64
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $183.87 / $555.00 / $74,999.25	Facility		$183.87	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $102.00 / $195.97 / $432.69	Professional		$102.00	$195.97	$432.69
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 $106.50 / $172.39 / $406.40	Professional		$106.50	$172.39	$406.40
Univera Facility/Professional Facility Modifier Low / Median / High Price $117.96 / $117.96 / $363.65	Facility		$117.96	$117.96	$363.65
Univera Facility/Professional Professional Modifier Low / Median / High Price $117.96 / $172.16 / $347.47	Professional		$117.96	$172.16	$347.47