Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $191.33 / $2,220.00 / $7,028.00	Facility		$191.33	$2,220.00	$7,028.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.34 / $236.00 / $580.77	Professional		$130.34	$236.00	$580.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $245.51 / $245.51 / $254.83	Professional		$245.51	$245.51	$254.83
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 $151.63 / $215.22 / $503.04	Professional		$151.63	$215.22	$503.04
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $203.57 / $203.57 / $6,213.00	Facility		$203.57	$203.57	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $203.57 / $203.57 / $375.45	Professional		$203.57	$203.57	$375.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $245.62 / $245.62 / $14,648.00	Facility		$245.62	$245.62	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.62 / $281.93 / $604.83	Professional		$147.62	$281.93	$604.83
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $112.00 / $191.30 / $377.62	Facility		$112.00	$191.30	$377.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $306.39 / $355.14 / $746.26	Professional		$306.39	$355.14	$746.26
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $187.34 / $242.85 / $486.74	Professional		$187.34	$242.85	$486.74
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $76.68 / $685.10 / $992.21	Facility		$76.68	$685.10	$992.21
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.10 / $316.10 / $326.50	Professional		$316.10	$316.10	$326.50
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $245.62 / $555.00 / $74,999.25	Facility		$245.62	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $157.60 / $313.93 / $685.98	Professional		$157.60	$313.93	$685.98
United Facility/Professional Facility Modifier Low / Median / High Price $828.92 / $2,705.00 / $4,840.00	Facility		$828.92	$2,705.00	$4,840.00
United Facility/Professional Professional Modifier Low / Median / High Price $155.43 / $286.55 / $645.13	Professional		$155.43	$286.55	$645.13
Univera Facility/Professional Facility Modifier Low / Median / High Price $155.97 / $155.97 / $508.87	Facility		$155.97	$155.97	$508.87
Univera Facility/Professional Professional Modifier Low / Median / High Price $182.21 / $260.27 / $556.10	Professional		$182.21	$260.27	$556.10