Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.05 / $3,060.00 / $7,969.00	Facility		$123.05	$3,060.00	$7,969.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.78 / $134.21 / $299.45	Professional		$78.78	$134.21	$299.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $68.84 / $68.84 / $68.84	Professional		$68.84	$68.84	$68.84
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 $91.33 / $134.00 / $294.55	Professional		$91.33	$134.00	$294.55
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $121.74 / $121.74 / $4,050.00	Facility		$121.74	$121.74	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $121.74 / $121.74 / $209.12	Professional		$121.74	$121.74	$209.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $148.05 / $148.05 / $14,648.00	Facility		$148.05	$148.05	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.00 / $148.75 / $334.25	Professional		$78.00	$148.75	$334.25
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $129.75 / $332.00	Facility		$75.00	$129.75	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $173.67 / $201.30 / $441.69	Professional		$173.67	$201.30	$441.69
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.79 / $138.01 / $275.32	Professional		$107.79	$138.01	$275.32
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $76.68 / $595.72 / $663.76	Facility		$76.68	$595.72	$663.76
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.36 / $160.44 / $189.34	Professional		$137.36	$160.44	$189.34
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $148.05 / $555.00 / $74,999.25	Facility		$148.05	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $93.00 / $177.71 / $373.01	Professional		$93.00	$177.71	$373.01
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 $87.92 / $157.05 / $366.34	Professional		$87.92	$157.05	$366.34
Univera Facility/Professional Facility Modifier Low / Median / High Price $94.08 / $94.08 / $282.89	Facility		$94.08	$94.08	$282.89
Univera Facility/Professional Professional Modifier Low / Median / High Price $103.07 / $159.96 / $314.56	Professional		$103.07	$159.96	$314.56