Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.62 / $2,974.00 / $7,969.00	Facility		$148.62	$2,974.00	$7,969.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.53 / $162.53 / $445.85	Professional		$98.53	$162.53	$445.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $165.02 / $166.60 / $341.00	Professional		$165.02	$166.60	$341.00
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 $115.21 / $162.84 / $349.09	Professional		$115.21	$162.84	$349.09
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $153.97 / $153.97 / $4,050.00	Facility		$153.97	$153.97	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $153.97 / $153.97 / $251.85	Professional		$153.97	$153.97	$251.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.61 / $186.61 / $14,648.00	Facility		$186.61	$186.61	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.34 / $183.65 / $399.76	Professional		$97.34	$183.65	$399.76
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $102.00 / $165.24 / $332.00	Facility		$102.00	$165.24	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $207.99 / $241.08 / $504.45	Professional		$207.99	$241.08	$504.45
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.80 / $165.79 / $330.98	Professional		$130.80	$165.79	$330.98
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $276.79 / $553.46 / $667.41	Facility		$276.79	$553.46	$667.41
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.43 / $195.69 / $235.49	Professional		$165.43	$195.69	$235.49
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $186.61 / $555.00 / $74,999.25	Facility		$186.61	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $116.35 / $216.06 / $448.63	Professional		$116.35	$216.06	$448.63
United Facility/Professional Facility Modifier Low / Median / High Price $1,283.00 / $2,651.00 / $4,633.00	Facility		$1,283.00	$2,651.00	$4,633.00
United Facility/Professional Professional Modifier Low / Median / High Price $107.62 / $205.74 / $443.68	Professional		$107.62	$205.74	$443.68
Univera Facility/Professional Facility Modifier Low / Median / High Price $118.97 / $118.97 / $367.92	Facility		$118.97	$118.97	$367.92
Univera Facility/Professional Professional Modifier Low / Median / High Price $130.80 / $176.99 / $378.15	Professional		$130.80	$176.99	$378.15