Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $240.24 / $3,205.00 / $7,839.00	Facility		$240.24	$3,205.00	$7,839.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.16 / $269.75 / $505.81	Professional		$156.16	$269.75	$505.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $102.51 / $102.51 / $102.51	Professional		$102.51	$102.51	$102.51
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 $221.83 / $292.69 / $647.02	Professional		$221.83	$292.69	$647.02
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $225.57 / $1,716.00 / $6,213.00	Facility		$225.57	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $225.57 / $225.57 / $438.03	Professional		$225.57	$225.57	$438.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $272.08 / $272.08 / $272.08	Facility		$272.08	$272.08	$272.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.76 / $349.56 / $863.69	Professional		$168.76	$349.56	$863.69
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $197.89 / $431.46	Facility		$35.00	$197.89	$431.46
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $322.75 / $458.14 / $675.00	Professional		$322.75	$458.14	$675.00
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $277.16 / $277.16 / $277.16	Facility		$277.16	$277.16	$277.16
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $246.46 / $362.45 / $639.37	Professional		$246.46	$362.45	$639.37
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,135.75 / $2,135.75 / $2,135.75	Facility		$2,135.75	$2,135.75	$2,135.75
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $272.08 / $555.00 / $597.00	Facility		$272.08	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $168.76 / $374.99 / $884.59	Professional		$168.76	$374.99	$884.59
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 $265.27 / $369.33 / $989.72	Professional		$265.27	$369.33	$989.72
Univera Facility/Professional Facility Modifier Low / Median / High Price $195.02 / $195.02 / $602.95	Facility		$195.02	$195.02	$602.95
Univera Facility/Professional Professional Modifier Low / Median / High Price $251.07 / $386.25 / $639.37	Professional		$251.07	$386.25	$639.37