Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.11 / $3,621.00 / $9,892.04	Facility		$281.11	$3,621.00	$9,892.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.09 / $368.70 / $787.72	Professional		$188.09	$368.70	$787.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.15 / $85.09 / $162.29	Professional		$81.15	$85.09	$162.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,749.00 / $9,877.00 / $16,490.00	Facility		$4,749.00	$9,877.00	$16,490.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.18 / $421.93 / $999.12	Professional		$323.18	$421.93	$999.12
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $257.49 / $1,990.00 / $8,917.50	Facility		$257.49	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $257.49 / $257.49 / $579.77	Professional		$257.49	$257.49	$579.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $305.94 / $305.94 / $305.94	Facility		$305.94	$305.94	$305.94
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $30.59 / $30.59 / $30.59	Facility	AS	$30.59	$30.59	$30.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.47 / $490.47 / $1,263.00	Professional		$199.47	$490.47	$1,263.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $208.78 / $422.00 / $892.50	Facility		$208.78	$422.00	$892.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $409.18 / $577.91 / $888.15	Professional		$409.18	$577.91	$888.15
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $351.38 / $351.38 / $351.38	Facility		$351.38	$351.38	$351.38
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.93 / $527.08 / $808.50	Professional		$346.93	$527.08	$808.50
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $984.22 / $2,209.82 / $3,110.50	Facility		$984.22	$2,209.82	$3,110.50
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $197.53 / $261.61 / $264.49	Professional		$197.53	$261.61	$264.49
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $305.94 / $555.00 / $597.00	Facility		$305.94	$555.00	$597.00
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $30.59 / $30.59 / $30.59	Facility	AS	$30.59	$30.59	$30.59
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $225.96 / $516.91 / $1,300.40	Professional		$225.96	$516.91	$1,300.40
United Facility/Professional Facility Modifier Low / Median / High Price $2,380.00 / $4,893.00 / $10,617.00	Facility		$2,380.00	$4,893.00	$10,617.00
United Facility/Professional Professional Modifier Low / Median / High Price $362.84 / $509.79 / $1,290.08	Professional		$362.84	$509.79	$1,290.08
Univera Facility/Professional Facility Modifier Low / Median / High Price $214.69 / $214.69 / $1,992.32	Facility		$214.69	$214.69	$1,992.32
Univera Facility/Professional Professional Modifier Low / Median / High Price $351.38 / $512.79 / $808.50	Professional		$351.38	$512.79	$808.50