Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $201.24 / $2,865.00 / $7,307.00	Facility		$201.24	$2,865.00	$7,307.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.47 / $203.25 / $469.26	Professional		$134.47	$203.25	$469.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $105.75 / $105.75 / $105.75	Professional		$105.75	$105.75	$105.75
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 $169.05 / $211.32 / $446.94	Professional		$169.05	$211.32	$446.94
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $249.34 / $249.34 / $6,213.00	Facility		$249.34	$249.34	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $249.34 / $249.34 / $324.30	Professional		$249.34	$249.34	$324.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.31 / $302.31 / $302.31	Facility		$302.31	$302.31	$302.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.71 / $265.66 / $592.20	Professional		$139.71	$265.66	$592.20
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $144.00 / $236.38 / $470.07	Facility		$144.00	$236.38	$470.07
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $267.66 / $310.25 / $653.12	Professional		$267.66	$310.25	$653.12
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $175.16 / $212.74 / $422.67	Professional		$175.16	$212.74	$422.67
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,846.89 / $1,846.89 / $2,717.41	Facility		$1,846.89	$1,846.89	$2,717.41
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $302.31 / $555.00 / $74,999.25	Facility		$302.31	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $168.21 / $286.38 / $630.52	Professional		$168.21	$286.38	$630.52
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 $152.35 / $255.29 / $572.76	Professional		$152.35	$255.29	$572.76
Univera Facility/Professional Facility Modifier Low / Median / High Price $193.14 / $193.14 / $591.38	Facility		$193.14	$193.14	$591.38
Univera Facility/Professional Professional Modifier Low / Median / High Price $175.16 / $245.57 / $538.74	Professional		$175.16	$245.57	$538.74