Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.74 / $3,316.00 / $7,969.00	Facility		$166.74	$3,316.00	$7,969.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.03 / $163.11 / $333.40	Professional		$111.03	$163.11	$333.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $175.71 / $175.71 / $175.71	Professional		$175.71	$175.71	$175.71
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 $127.75 / $172.01 / $375.10	Professional		$127.75	$172.01	$375.10
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $169.48 / $169.48 / $6,213.00	Facility		$169.48	$169.48	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $169.48 / $169.48 / $266.39	Professional		$169.48	$169.48	$266.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.76 / $204.76 / $14,648.00	Facility		$204.76	$204.76	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.88 / $198.35 / $424.44	Professional		$108.88	$198.35	$424.44
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $114.00 / $180.00 / $332.00	Facility		$114.00	$180.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $219.89 / $254.87 / $533.25	Professional		$219.89	$254.87	$533.25
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $175.48 / $350.22	Professional		$141.25	$175.48	$350.22
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $587.82 / $587.82 / $587.82	Facility		$587.82	$587.82	$587.82
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $192.49 / $208.11 / $242.77	Professional		$192.49	$208.11	$242.77
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $204.76 / $555.00 / $74,999.25	Facility		$204.76	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $127.12 / $229.78 / $472.63	Professional		$127.12	$229.78	$472.63
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 $117.76 / $215.81 / $447.06	Professional		$117.76	$215.81	$447.06
Univera Facility/Professional Facility Modifier Low / Median / High Price $130.51 / $130.51 / $408.16	Facility		$130.51	$130.51	$408.16
Univera Facility/Professional Professional Modifier Low / Median / High Price $131.10 / $203.48 / $400.13	Professional		$131.10	$203.48	$400.13