Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.13 / $3,084.55 / $9,555.00	Facility		$115.13	$3,084.55	$9,555.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.84 / $160.19 / $340.61	Professional		$72.84	$160.19	$340.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.49 / $43.49 / $80.45	Professional		$43.49	$43.49	$80.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,385.00 / $4,133.00 / $9,074.00	Facility		$2,385.00	$4,133.00	$9,074.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $161.80 / $223.92 / $433.60	Professional		$161.80	$223.92	$433.60
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $123.94 / $1,254.00 / $4,050.00	Facility		$123.94	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $123.94 / $123.94 / $354.55	Professional		$123.94	$123.94	$354.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.60 / $147.60 / $147.60	Facility		$147.60	$147.60	$147.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.16 / $221.36 / $555.79	Professional		$86.16	$221.36	$555.79
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $101.57 / $225.00 / $360.00	Facility		$101.57	$225.00	$360.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $244.94 / $342.37 / $502.61	Professional		$244.94	$342.37	$502.61
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $210.34 / $210.34 / $210.34	Facility		$210.34	$210.34	$210.34
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.91 / $234.35 / $486.35	Professional		$152.91	$234.35	$486.35
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,823.10 / $3,468.46 / $5,316.80	Facility		$1,823.10	$3,468.46	$5,316.80
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $147.60 / $555.00 / $597.00	Facility		$147.60	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $94.43 / $260.00 / $592.36	Professional		$94.43	$260.00	$592.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.00 / $3,496.00 / $6,201.00	Facility		$1,348.00	$3,496.00	$6,201.00
United Facility/Professional Professional Modifier Low / Median / High Price $215.76 / $289.11 / $758.66	Professional		$215.76	$289.11	$758.66
Univera Facility/Professional Facility Modifier Low / Median / High Price $103.54 / $103.54 / $381.84	Facility		$103.54	$103.54	$381.84
Univera Facility/Professional Professional Modifier Low / Median / High Price $173.29 / $268.22 / $486.35	Professional		$173.29	$268.22	$486.35