Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.40 / $2,739.00 / $7,095.00	Facility		$161.40	$2,739.00	$7,095.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.39 / $171.99 / $403.67	Professional		$109.39	$171.99	$403.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $179.41 / $179.41 / $179.41	Professional		$179.41	$179.41	$179.41
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 $140.33 / $179.04 / $396.15	Professional		$140.33	$179.04	$396.15
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $203.13 / $203.13 / $6,213.00	Facility		$203.13	$203.13	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $203.13 / $203.13 / $273.79	Professional		$203.13	$203.13	$273.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $246.76 / $246.76 / $246.76	Facility		$246.76	$246.76	$246.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.36 / $221.31 / $483.80	Professional		$116.36	$221.31	$483.80
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $116.00 / $193.93 / $384.91	Facility		$116.00	$193.93	$384.91
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $36.00 / $194.25 / $408.24	Professional		$36.00	$194.25	$408.24
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $145.96 / $179.65 / $358.51	Professional		$145.96	$179.65	$358.51
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $510.42 / $1,201.42 / $3,150.00	Facility		$510.42	$1,201.42	$3,150.00
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $191.97 / $225.84 / $357.82	Professional		$191.97	$225.84	$357.82
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $246.76 / $555.00 / $74,999.25	Facility		$246.76	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $136.00 / $237.53 / $513.11	Professional		$136.00	$237.53	$513.11
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 $127.38 / $224.04 / $488.12	Professional		$127.38	$224.04	$488.12
Univera Facility/Professional Facility Modifier Low / Median / High Price $158.69 / $158.69 / $470.45	Facility		$158.69	$158.69	$470.45
Univera Facility/Professional Professional Modifier Low / Median / High Price $145.96 / $208.29 / $456.96	Professional		$145.96	$208.29	$456.96