Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.96 / $3,316.00 / $7,969.00	Facility		$162.96	$3,316.00	$7,969.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.96 / $161.57 / $311.58	Professional		$107.96	$161.57	$311.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $167.71 / $167.71 / $167.71	Professional		$167.71	$167.71	$167.71
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 $118.15 / $163.52 / $361.88	Professional		$118.15	$163.52	$361.88
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $165.17 / $165.17 / $6,213.00	Facility		$165.17	$165.17	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $165.17 / $165.17 / $253.50	Professional		$165.17	$165.17	$253.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.21 / $200.21 / $14,648.00	Facility		$200.21	$200.21	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.69 / $191.66 / $408.10	Professional		$105.69	$191.66	$408.10
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $110.00 / $178.20 / $332.00	Facility		$110.00	$178.20	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $210.17 / $243.60 / $573.79	Professional		$210.17	$243.60	$573.79
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.66 / $167.73 / $334.21	Professional		$133.66	$167.73	$334.21
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $176.74 / $195.88 / $198.03	Professional		$176.74	$195.88	$198.03
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $200.21 / $555.00 / $74,999.25	Facility		$200.21	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $122.28 / $218.05 / $459.62	Professional		$122.28	$218.05	$459.62
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 $115.34 / $209.49 / $479.23	Professional		$115.34	$209.49	$479.23
Univera Facility/Professional Facility Modifier Low / Median / High Price $127.23 / $127.23 / $398.31	Facility		$127.23	$127.23	$398.31
Univera Facility/Professional Professional Modifier Low / Median / High Price $127.23 / $178.72 / $381.83	Professional		$127.23	$178.72	$381.83