Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $284.30 / $2,842.00 / $7,521.00	Facility		$284.30	$2,842.00	$7,521.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.85 / $380.40 / $1,042.83	Professional		$174.85	$380.40	$1,042.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $367.97 / $367.97 / $381.25	Professional		$367.97	$367.97	$381.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,393.00 / $4,142.00 / $9,074.00	Facility		$2,393.00	$4,142.00	$9,074.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $193.93 / $373.52 / $844.23	Professional		$193.93	$373.52	$844.23
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $266.88 / $266.88 / $6,213.00	Facility		$266.88	$266.88	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $266.88 / $266.88 / $578.16	Professional		$266.88	$266.88	$578.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $319.83 / $319.83 / $14,648.00	Facility		$319.83	$319.83	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.01 / $384.63 / $880.90	Professional		$181.01	$384.63	$880.90
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $276.83 / $479.14	Facility		$200.00	$276.83	$479.14
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $72.00 / $268.25 / $818.31	Professional		$72.00	$268.25	$818.31
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $335.84 / $382.09 / $762.55	Professional		$335.84	$382.09	$762.55
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $550.95 / $550.95 / $550.95	Professional		$550.95	$550.95	$550.95
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $779.19 / $779.19 / $810.60	Facility		$779.19	$779.19	$810.60
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.16 / $444.01 / $530.64	Professional		$371.16	$444.01	$530.64
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $319.83 / $555.00 / $74,999.25	Facility		$319.83	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $216.20 / $476.29 / $1,031.73	Professional		$216.20	$476.29	$1,031.73
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 $264.16 / $460.56 / $1,025.90	Professional		$264.16	$460.56	$1,025.90
Univera Facility/Professional Facility Modifier Low / Median / High Price $201.81 / $201.81 / $589.71	Facility		$201.81	$201.81	$589.71
Univera Facility/Professional Professional Modifier Low / Median / High Price $285.45 / $407.78 / $871.22	Professional		$285.45	$407.78	$871.22