Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $340.01 / $3,347.00 / $9,347.04	Facility		$340.01	$3,347.00	$9,347.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.66 / $364.25 / $868.70	Professional		$220.66	$364.25	$868.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $356.33 / $364.02 / $382.38	Professional		$356.33	$364.02	$382.38
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 $256.62 / $367.02 / $887.01	Professional		$256.62	$367.02	$887.01
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $351.02 / $1,990.00 / $8,917.50	Facility		$351.02	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $351.02 / $351.02 / $573.99	Professional		$351.02	$351.02	$573.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $412.80 / $412.80 / $412.80	Facility		$412.80	$412.80	$412.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.40 / $447.52 / $1,125.11	Professional		$251.40	$447.52	$1,125.11
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $209.00 / $298.88 / $634.14	Facility		$209.00	$298.88	$634.14
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $458.99 / $532.01 / $1,220.38	Professional		$458.99	$532.01	$1,220.38
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $307.37 / $364.67 / $731.75	Professional		$307.37	$364.67	$731.75
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $426.37 / $1,844.26 / $5,730.48	Facility		$426.37	$1,844.26	$5,730.48
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $395.46 / $472.32 / $718.54	Professional		$395.46	$472.32	$718.54
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $412.80 / $555.00 / $74,999.25	Facility		$412.80	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $262.14 / $495.48 / $1,199.13	Professional		$262.14	$495.48	$1,199.13
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 $261.00 / $482.53 / $963.03	Professional		$261.00	$482.53	$963.03
Univera Facility/Professional Facility Modifier Low / Median / High Price $263.97 / $263.97 / $943.32	Facility		$263.97	$263.97	$943.32
Univera Facility/Professional Professional Modifier Low / Median / High Price $273.93 / $425.14 / $836.02	Professional		$273.93	$425.14	$836.02