Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $240.74 / $1,894.41 / $7,028.00	Facility		$240.74	$1,894.41	$7,028.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.03 / $287.66 / $749.08	Professional		$168.03	$287.66	$749.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $273.77 / $283.86 / $601.76	Professional		$273.77	$283.86	$601.76
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 $190.92 / $254.37 / $621.28	Professional		$190.92	$254.37	$621.28
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $265.14 / $265.14 / $6,213.00	Facility		$265.14	$265.14	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $265.14 / $265.14 / $435.60	Professional		$265.14	$265.14	$435.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $319.20 / $319.20 / $14,648.00	Facility		$319.20	$319.20	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.17 / $343.64 / $742.89	Professional		$184.17	$343.64	$742.89
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $146.00 / $250.00 / $492.44	Facility		$146.00	$250.00	$492.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $354.02 / $410.35 / $860.80	Professional		$354.02	$410.35	$860.80
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $235.48 / $281.16 / $561.47	Professional		$235.48	$281.16	$561.47
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $161.19 / $502.32 / $1,669.50	Facility		$161.19	$502.32	$1,669.50
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $298.08 / $358.62 / $402.95	Professional		$298.08	$358.62	$402.95
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $319.20 / $555.00 / $74,999.25	Facility		$319.20	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $200.56 / $374.46 / $896.47	Professional		$200.56	$374.46	$896.47
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 $182.12 / $337.39 / $725.09	Professional		$182.12	$337.39	$725.09
Univera Facility/Professional Facility Modifier Low / Median / High Price $204.36 / $204.36 / $608.82	Facility		$204.36	$204.36	$608.82
Univera Facility/Professional Professional Modifier Low / Median / High Price $235.48 / $326.20 / $641.48	Professional		$235.48	$326.20	$641.48