Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.75 / $2,974.00 / $8,224.79	Facility		$200.75	$2,974.00	$8,224.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.24 / $211.84 / $475.11	Professional		$121.24	$211.84	$475.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $110.24 / $110.87 / $228.34	Professional		$110.24	$110.87	$228.34
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 $161.52 / $223.54 / $503.08	Professional		$161.52	$223.54	$503.08
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $226.02 / $226.02 / $6,213.00	Facility		$226.02	$226.02	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $226.02 / $226.02 / $349.68	Professional		$226.02	$226.02	$349.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $271.33 / $271.33 / $271.33	Facility		$271.33	$271.33	$271.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.34 / $261.39 / $573.90	Professional		$135.34	$261.39	$573.90
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $143.00 / $234.90 / $415.96	Facility		$143.00	$234.90	$415.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Professional		$10.00	$10.00	$10.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $184.73 / $227.61 / $453.29	Professional		$184.73	$227.61	$453.29
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $158.58 / $556.57 / $1,460.93	Facility		$158.58	$556.57	$1,460.93
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $242.70 / $292.69 / $468.85	Professional		$242.70	$292.69	$468.85
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $271.33 / $555.00 / $74,999.25	Facility		$271.33	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $160.35 / $301.69 / $634.75	Professional		$160.35	$301.69	$634.75
United Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,826.00 / $4,851.00	Facility		$964.00	$2,826.00	$4,851.00
United Facility/Professional Professional Modifier Low / Median / High Price $155.91 / $273.13 / $557.28	Professional		$155.91	$273.13	$557.28
Univera Facility/Professional Facility Modifier Low / Median / High Price $173.39 / $173.39 / $458.76	Facility		$173.39	$173.39	$458.76
Univera Facility/Professional Professional Modifier Low / Median / High Price $184.73 / $242.40 / $517.88	Professional		$184.73	$242.40	$517.88