Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $362.24 / $3,293.10 / $8,160.48	Facility		$362.24	$3,293.10	$8,160.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $249.90 / $365.67 / $808.22	Professional		$249.90	$365.67	$808.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $190.59 / $190.59 / $190.59	Professional		$190.59	$190.59	$190.59
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 $274.29 / $358.11 / $907.15	Professional		$274.29	$358.11	$907.15
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $391.80 / $1,990.00 / $8,917.50	Facility		$391.80	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $391.80 / $391.80 / $608.09	Professional		$391.80	$391.80	$608.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $468.80 / $468.80 / $468.80	Facility		$468.80	$468.80	$468.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.72 / $494.26 / $1,060.83	Professional		$281.72	$494.26	$1,060.83
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $253.00 / $332.00 / $715.07	Facility		$253.00	$332.00	$715.07
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $490.56 / $568.60 / $1,299.92	Professional		$490.56	$568.60	$1,299.92
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $319.54 / $390.69 / $780.38	Professional		$319.54	$390.69	$780.38
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,821.35 / $2,023.94 / $2,721.97	Facility		$1,821.35	$2,023.94	$2,721.97
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $421.02 / $502.84 / $569.08	Professional		$421.02	$502.84	$569.08
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $468.80 / $555.00 / $74,999.25	Facility		$468.80	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $292.68 / $527.11 / $1,259.09	Professional		$292.68	$527.11	$1,259.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,283.00 / $2,597.00 / $4,633.00	Facility		$1,283.00	$2,597.00	$4,633.00
United Facility/Professional Professional Modifier Low / Median / High Price $270.14 / $482.01 / $1,072.20	Professional		$270.14	$482.01	$1,072.20
Univera Facility/Professional Facility Modifier Low / Median / High Price $297.19 / $297.19 / $1,085.26	Facility		$297.19	$297.19	$1,085.26
Univera Facility/Professional Professional Modifier Low / Median / High Price $297.19 / $453.40 / $913.88	Professional		$297.19	$453.40	$913.88