Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $341.50 / $3,316.00 / $10,170.00	Facility		$341.50	$3,316.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $231.05 / $374.68 / $868.70	Professional		$231.05	$374.68	$868.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $258.08 / $410.74 / $415.17	Professional		$258.08	$410.74	$415.17
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 $277.20 / $390.58 / $871.94	Professional		$277.20	$390.58	$871.94
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $363.20 / $1,990.00 / $8,917.50	Facility		$363.20	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $363.20 / $363.20 / $614.34	Professional		$363.20	$363.20	$614.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $434.87 / $434.87 / $434.87	Facility		$434.87	$434.87	$434.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $266.73 / $472.07 / $1,006.78	Professional		$266.73	$472.07	$1,006.78
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $226.00 / $313.38 / $662.90	Facility		$226.00	$313.38	$662.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $492.50 / $574.99 / $1,198.47	Professional		$492.50	$574.99	$1,198.47
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $336.34 / $396.49 / $784.51	Professional		$336.34	$396.49	$784.51
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $904.09 / $1,379.12 / $3,517.05	Facility		$904.09	$1,379.12	$3,517.05
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $391.78 / $478.15 / $773.48	Professional		$391.78	$478.15	$773.48
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $434.87 / $555.00 / $74,999.25	Facility		$434.87	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $286.00 / $529.07 / $1,212.58	Professional		$286.00	$529.07	$1,212.58
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 $286.38 / $489.73 / $1,066.66	Professional		$286.38	$489.73	$1,066.66
Univera Facility/Professional Facility Modifier Low / Median / High Price $275.85 / $275.85 / $1,015.93	Facility		$275.85	$275.85	$1,015.93
Univera Facility/Professional Professional Modifier Low / Median / High Price $293.68 / $455.80 / $896.31	Professional		$293.68	$455.80	$896.31