Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.84 / $2,991.12 / $7,307.00	Facility		$177.84	$2,991.12	$7,307.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.48 / $183.02 / $508.79	Professional		$124.48	$183.02	$508.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $94.46 / $94.46 / $100.83	Professional		$94.46	$94.46	$100.83
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 $149.51 / $189.37 / $402.15	Professional		$149.51	$189.37	$402.15
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $217.70 / $217.70 / $6,213.00	Facility		$217.70	$217.70	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $217.70 / $217.70 / $291.23	Professional		$217.70	$217.70	$291.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $266.74 / $266.74 / $266.74	Facility		$266.74	$266.74	$266.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.83 / $235.33 / $541.69	Professional		$122.83	$235.33	$541.69
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $122.00 / $208.71 / $414.34	Facility		$122.00	$208.71	$414.34
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $241.60 / $280.04 / $589.07	Professional		$241.60	$280.04	$589.07
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $157.19 / $192.06 / $380.99	Professional		$157.19	$192.06	$380.99
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $158.58 / $1,801.75 / $4,012.48	Facility		$158.58	$1,801.75	$4,012.48
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $172.53 / $240.34 / $382.86	Professional		$172.53	$240.34	$382.86
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $266.74 / $555.00 / $74,999.25	Facility		$266.74	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $144.66 / $254.15 / $572.04	Professional		$144.66	$254.15	$572.04
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 $137.71 / $240.08 / $513.04	Professional		$137.71	$240.08	$513.04
Univera Facility/Professional Facility Modifier Low / Median / High Price $169.64 / $169.64 / $500.26	Facility		$169.64	$169.64	$500.26
Univera Facility/Professional Professional Modifier Low / Median / High Price $157.19 / $221.35 / $485.61	Professional		$157.19	$221.35	$485.61