Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.76 / $3,316.00 / $8,442.00	Facility		$275.76	$3,316.00	$8,442.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.03 / $287.17 / $589.51	Professional		$180.03	$287.17	$589.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $307.20 / $307.20 / $307.20	Professional		$307.20	$307.20	$307.20
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 $204.16 / $280.13 / $667.70	Professional		$204.16	$280.13	$667.70
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $282.39 / $1,716.00 / $6,213.00	Facility		$282.39	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $282.39 / $282.39 / $492.01	Professional		$282.39	$282.39	$492.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.06 / $338.06 / $338.06	Facility		$338.06	$338.06	$338.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $206.29 / $363.93 / $941.68	Professional		$206.29	$363.93	$941.68
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $130.00 / $243.91 / $518.22	Facility		$130.00	$243.91	$518.22
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $395.29 / $458.18 / $962.93	Professional		$395.29	$458.18	$962.93
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $247.62 / $313.77 / $628.24	Professional		$247.62	$313.77	$628.24
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $783.78 / $1,484.54 / $5,094.76	Facility		$783.78	$1,484.54	$5,094.76
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $227.54 / $372.70 / $372.70	Professional		$227.54	$372.70	$372.70
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $338.06 / $555.00 / $74,999.25	Facility		$338.06	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $211.18 / $420.89 / $1,015.13	Professional		$211.18	$420.89	$1,015.13
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 $228.01 / $392.23 / $821.02	Professional		$228.01	$392.23	$821.02
Univera Facility/Professional Facility Modifier Low / Median / High Price $214.46 / $214.46 / $779.44	Facility		$214.46	$214.46	$779.44
Univera Facility/Professional Professional Modifier Low / Median / High Price $235.19 / $335.95 / $717.76	Professional		$235.19	$335.95	$717.76