Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.93 / $2,962.86 / $10,686.00	Facility		$158.93	$2,962.86	$10,686.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.23 / $332.92 / $757.04	Professional		$109.23	$332.92	$757.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $115.86 / $115.86 / $115.86	Professional		$115.86	$115.86	$115.86
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 $254.17 / $406.95 / $1,288.54	Professional		$254.17	$406.95	$1,288.54
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $183.76 / $1,716.00 / $6,213.00	Facility		$183.76	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $183.76 / $183.76 / $583.86	Professional		$183.76	$183.76	$583.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $219.44 / $219.44 / $219.44	Facility		$219.44	$219.44	$219.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.12 / $374.77 / $1,449.24	Professional		$129.12	$374.77	$1,449.24
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $140.00 / $261.00 / $451.53	Facility		$140.00	$261.00	$451.53
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $432.25 / $558.70 / $901.28	Professional		$432.25	$558.70	$901.28
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $342.41 / $342.41 / $342.41	Facility		$342.41	$342.41	$342.41
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $340.58 / $513.67 / $793.70	Professional		$340.58	$513.67	$793.70
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,696.89 / $3,547.60 / $5,216.29	Facility		$1,696.89	$3,547.60	$5,216.29
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $219.44 / $555.00 / $597.00	Facility		$219.44	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $140.88 / $478.58 / $1,493.61	Professional		$140.88	$478.58	$1,493.61
United Facility/Professional Facility Modifier Low / Median / High Price $1,768.00 / $3,961.00 / $8,312.00	Facility		$1,768.00	$3,961.00	$8,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $365.66 / $527.87 / $1,317.51	Professional		$365.66	$527.87	$1,317.51
Univera Facility/Professional Facility Modifier Low / Median / High Price $153.38 / $153.38 / $569.37	Facility		$153.38	$153.38	$569.37
Univera Facility/Professional Professional Modifier Low / Median / High Price $324.24 / $503.41 / $793.70	Professional		$324.24	$503.41	$793.70