Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $191.89 / $3,353.03 / $10,686.00	Facility		$191.89	$3,353.03	$10,686.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.91 / $152.74 / $405.90	Professional		$133.91	$152.74	$405.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $90.85 / $90.85 / $196.02	Professional		$90.85	$90.85	$196.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.02 / $169.94 / $348.47	Professional		$134.02	$169.94	$348.47
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $204.15 / $204.15 / $4,050.00	Facility		$204.15	$204.15	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $204.15 / $204.15 / $204.15	Professional		$204.15	$204.15	$204.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $163.66 / $163.66 / $14,648.00	Facility		$163.66	$163.66	$14,648.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $16.03 / $16.03 / $16.03	Facility	AS	$16.03	$16.03	$16.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.94 / $223.30 / $555.48	Professional		$143.94	$223.30	$555.48
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $160.15 / $253.32 / $550.09	Facility		$160.15	$253.32	$550.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $168.01 / $240.18 / $548.10	Professional		$168.01	$240.18	$548.10
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $133.46 / $133.46 / $133.46	Facility		$133.46	$133.46	$133.46
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.65 / $190.76 / $300.76	Professional		$116.65	$190.76	$300.76
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $179.55 / $179.55 / $209.25	Professional		$179.55	$179.55	$209.25
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.42 / $0.42 / $1,250.50	Facility		$0.42	$0.42	$1,250.50
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.46 / $133.46 / $133.46	Professional		$133.46	$133.46	$133.46
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $163.66 / $555.00 / $597.00	Facility		$163.66	$555.00	$597.00
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $16.03 / $16.03 / $16.03	Facility	AS	$16.03	$16.03	$16.03
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $150.61 / $233.69 / $512.16	Professional		$150.61	$233.69	$512.16
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 $130.07 / $182.44 / $471.74	Professional		$130.07	$182.44	$471.74
Univera Facility/Professional Facility Modifier Low / Median / High Price $170.50 / $170.50 / $472.86	Facility		$170.50	$170.50	$472.86
Univera Facility/Professional Professional Modifier Low / Median / High Price $133.46 / $190.76 / $362.46	Professional		$133.46	$190.76	$362.46