Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $241.85 / $2,056.00 / $7,095.00	Facility		$241.85	$2,056.00	$7,095.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.89 / $284.20 / $669.96	Professional		$176.89	$284.20	$669.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $283.64 / $292.39 / $292.39	Professional		$283.64	$292.39	$292.39
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 $188.34 / $261.98 / $654.71	Professional		$188.34	$261.98	$654.71
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $279.45 / $279.45 / $6,213.00	Facility		$279.45	$279.45	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $279.45 / $279.45 / $447.51	Professional		$279.45	$279.45	$447.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $335.98 / $335.98 / $14,648.00	Facility		$335.98	$335.98	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.14 / $353.44 / $843.69	Professional		$193.14	$353.44	$843.69
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $141.00 / $243.93 / $515.67	Facility		$141.00	$243.93	$515.67
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $366.61 / $424.93 / $892.07	Professional		$366.61	$424.93	$892.07
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $227.90 / $291.44 / $583.11	Professional		$227.90	$291.44	$583.11
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $208.24 / $648.30 / $1,568.37	Facility		$208.24	$648.30	$1,568.37
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $308.17 / $340.40 / $539.48	Professional		$308.17	$340.40	$539.48
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $335.98 / $555.00 / $74,999.25	Facility		$335.98	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $210.24 / $383.29 / $938.60	Professional		$210.24	$383.29	$938.60
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 $203.10 / $359.56 / $775.06	Professional		$203.10	$359.56	$775.06
Univera Facility/Professional Facility Modifier Low / Median / High Price $214.10 / $214.10 / $604.10	Facility		$214.10	$214.10	$604.10
Univera Facility/Professional Professional Modifier Low / Median / High Price $218.29 / $338.79 / $666.21	Professional		$218.29	$338.79	$666.21