Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $233.33 / $1,819.00 / $7,227.91	Facility		$233.33	$1,819.00	$7,227.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.83 / $256.24 / $637.41	Professional		$170.83	$256.24	$637.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $150.15 / $279.69 / $605.00	Professional		$150.15	$279.69	$605.00
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 $184.93 / $251.18 / $592.04	Professional		$184.93	$251.18	$592.04
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $274.32 / $274.32 / $6,213.00	Facility		$274.32	$274.32	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $274.32 / $274.32 / $440.00	Professional		$274.32	$274.32	$440.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $329.62 / $329.62 / $14,648.00	Facility		$329.62	$329.62	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $189.76 / $347.81 / $716.19	Professional		$189.76	$347.81	$716.19
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $141.00 / $243.93 / $505.82	Facility		$141.00	$243.93	$505.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $360.36 / $417.69 / $876.45	Professional		$360.36	$417.69	$876.45
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $220.98 / $286.54 / $573.38	Professional		$220.98	$286.54	$573.38
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $267.75 / $734.25 / $1,342.40	Facility		$267.75	$734.25	$1,342.40
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $303.00 / $358.88 / $400.69	Professional		$303.00	$358.88	$400.69
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $329.62 / $555.00 / $74,999.25	Facility		$329.62	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $206.39 / $376.88 / $873.20	Professional		$206.39	$376.88	$873.20
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 $189.93 / $324.63 / $748.11	Professional		$189.93	$324.63	$748.11
Univera Facility/Professional Facility Modifier Low / Median / High Price $210.21 / $210.21 / $603.77	Facility		$210.21	$210.21	$603.77
Univera Facility/Professional Professional Modifier Low / Median / High Price $220.98 / $333.13 / $655.08	Professional		$220.98	$333.13	$655.08