Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $267.73 / $2,884.50 / $7,307.00	Facility		$267.73	$2,884.50	$7,307.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $179.81 / $282.99 / $675.57	Professional		$179.81	$282.99	$675.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $601.74 / $601.74 / $601.74	Professional		$601.74	$601.74	$601.74
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 $200.29 / $272.91 / $638.97	Professional		$200.29	$272.91	$638.97
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $288.04 / $1,716.00 / $6,213.00	Facility		$288.04	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $288.04 / $288.04 / $475.67	Professional		$288.04	$288.04	$475.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $345.68 / $345.68 / $345.68	Facility		$345.68	$345.68	$345.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.36 / $367.02 / $783.32	Professional		$200.36	$367.02	$783.32
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $250.00 / $531.61	Facility		$150.00	$250.00	$531.61
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $389.06 / $450.96 / $947.91	Professional		$389.06	$450.96	$947.91
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.50 / $308.82 / $618.11	Professional		$229.50	$308.82	$618.11
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $200.73 / $200.73 / $200.73	Professional		$200.73	$200.73	$200.73
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $218.27 / $443.63 / $2,221.50	Facility		$218.27	$443.63	$2,221.50
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $327.57 / $387.99 / $392.26	Professional		$327.57	$387.99	$392.26
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $345.68 / $555.00 / $74,999.25	Facility		$345.68	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $235.22 / $404.53 / $949.10	Professional		$235.22	$404.53	$949.10
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 $216.76 / $382.18 / $831.31	Professional		$216.76	$382.18	$831.31
Univera Facility/Professional Facility Modifier Low / Median / High Price $220.26 / $220.26 / $636.21	Facility		$220.26	$220.26	$636.21
Univera Facility/Professional Professional Modifier Low / Median / High Price $229.50 / $359.12 / $706.19	Professional		$229.50	$359.12	$706.19