Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $330.48 / $2,892.00 / $8,134.00	Facility		$330.48	$2,892.00	$8,134.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $212.83 / $330.48 / $704.60	Professional		$212.83	$330.48	$704.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $187.92 / $187.92 / $187.92	Professional		$187.92	$187.92	$187.92
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 $245.60 / $318.64 / $915.24	Professional		$245.60	$318.64	$915.24
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $341.11 / $1,716.00 / $6,213.00	Facility		$341.11	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $341.11 / $341.11 / $558.83	Professional		$341.11	$341.11	$558.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $408.33 / $408.33 / $408.33	Facility		$408.33	$408.33	$408.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.42 / $441.03 / $1,094.64	Professional		$245.42	$441.03	$1,094.64
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $201.00 / $294.14 / $623.99	Facility		$201.00	$294.14	$623.99
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $450.53 / $522.21 / $1,097.27	Professional		$450.53	$522.21	$1,097.27
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $282.42 / $358.25 / $716.09	Professional		$282.42	$358.25	$716.09
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $334.89 / $407.85 / $1,424.80	Facility		$334.89	$407.85	$1,424.80
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $403.79 / $459.89 / $521.15	Professional		$403.79	$459.89	$521.15
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $408.33 / $555.00 / $74,999.25	Facility		$408.33	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $257.80 / $482.67 / $1,155.36	Professional		$257.80	$482.67	$1,155.36
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 $247.37 / $447.81 / $971.88	Professional		$247.37	$447.81	$971.88
Univera Facility/Professional Facility Modifier Low / Median / High Price $258.77 / $258.77 / $924.64	Facility		$258.77	$258.77	$924.64
Univera Facility/Professional Professional Modifier Low / Median / High Price $282.42 / $416.05 / $818.14	Professional		$282.42	$416.05	$818.14