Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.13 / $2,036.00 / $7,028.00	Facility		$193.13	$2,036.00	$7,028.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.78 / $226.75 / $538.76	Professional		$132.78	$226.75	$538.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $212.97 / $259.45 / $470.46	Professional		$212.97	$259.45	$470.46
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 $155.19 / $214.80 / $516.91	Professional		$155.19	$214.80	$516.91
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $212.04 / $212.04 / $6,213.00	Facility		$212.04	$212.04	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $212.04 / $212.04 / $373.90	Professional		$212.04	$212.04	$373.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $253.70 / $253.70 / $14,648.00	Facility		$253.70	$253.70	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.30 / $270.05 / $602.70	Professional		$144.30	$270.05	$602.70
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $102.00 / $184.47 / $391.88	Facility		$102.00	$184.47	$391.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $304.87 / $353.37 / $741.82	Professional		$304.87	$353.37	$741.82
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $176.26 / $241.66 / $485.33	Professional		$176.26	$241.66	$485.33
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $296.55 / $296.55 / $296.55	Professional		$296.55	$296.55	$296.55
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $208.24 / $497.36 / $1,701.65	Facility		$208.24	$497.36	$1,701.65
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $241.66 / $304.97 / $335.62	Professional		$241.66	$304.97	$335.62
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $253.70 / $555.00 / $74,999.25	Facility		$253.70	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $160.63 / $313.23 / $712.49	Professional		$160.63	$313.23	$712.49
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 $160.53 / $289.99 / $632.34	Professional		$160.53	$289.99	$632.34
Univera Facility/Professional Facility Modifier Low / Median / High Price $162.60 / $162.60 / $418.96	Facility		$162.60	$162.60	$418.96
Univera Facility/Professional Professional Modifier Low / Median / High Price $176.26 / $281.97 / $554.49	Professional		$176.26	$281.97	$554.49