Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.80 / $2,956.72 / $7,028.00	Facility		$161.80	$2,956.72	$7,028.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.50 / $158.76 / $551.59	Professional		$101.50	$158.76	$551.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.44 / $167.02 / $167.02	Professional		$87.44	$167.02	$167.02
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 $129.44 / $165.66 / $367.03	Professional		$129.44	$165.66	$367.03
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $189.29 / $189.29 / $6,213.00	Facility		$189.29	$189.29	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $189.29 / $189.29 / $256.13	Professional		$189.29	$189.29	$256.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.37 / $229.37 / $229.37	Facility		$229.37	$229.37	$229.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.06 / $205.15 / $458.61	Professional		$108.06	$205.15	$458.61
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $105.00 / $180.17 / $356.81	Facility		$105.00	$180.17	$356.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $180.38 / $378.28	Professional		$33.11	$180.38	$378.28
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.94 / $166.75 / $332.42	Professional		$134.94	$166.75	$332.42
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $354.50 / $1,631.00 / $3,160.62	Facility		$354.50	$1,631.00	$3,160.62
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $184.26 / $212.12 / $336.07	Professional		$184.26	$212.12	$336.07
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $229.37 / $555.00 / $74,999.25	Facility		$229.37	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $125.24 / $223.63 / $496.54	Professional		$125.24	$223.63	$496.54
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 $114.61 / $211.57 / $469.52	Professional		$114.61	$211.57	$469.52
Univera Facility/Professional Facility Modifier Low / Median / High Price $146.72 / $146.72 / $425.81	Facility		$146.72	$146.72	$425.81
Univera Facility/Professional Professional Modifier Low / Median / High Price $134.94 / $193.13 / $423.70	Professional		$134.94	$193.13	$423.70