Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.57 / $2,399.00 / $7,185.00	Facility		$257.57	$2,399.00	$7,185.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.58 / $372.36 / $837.18	Professional		$173.58	$372.36	$837.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $124.34 / $124.34 / $248.68	Professional		$124.34	$124.34	$248.68
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 $324.63 / $487.56 / $941.10	Professional		$324.63	$487.56	$941.10
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $262.52 / $1,254.00 / $4,050.00	Facility		$262.52	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $262.52 / $262.52 / $680.29	Professional		$262.52	$262.52	$680.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $313.77 / $313.77 / $313.77	Facility		$313.77	$313.77	$313.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.17 / $491.66 / $1,267.48	Professional		$195.17	$491.66	$1,267.48
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $125.00 / $227.64 / $495.79	Facility		$125.00	$227.64	$495.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $502.75 / $707.52 / $1,051.56	Professional		$502.75	$707.52	$1,051.56
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $431.73 / $431.73 / $431.73	Facility		$431.73	$431.73	$431.73
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $352.49 / $550.53 / $1,000.03	Professional		$352.49	$550.53	$1,000.03
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,050.50 / $2,050.50 / $2,050.50	Facility		$2,050.50	$2,050.50	$2,050.50
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $260.45 / $548.23 / $649.57	Professional		$260.45	$548.23	$649.57
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $313.77 / $555.00 / $597.00	Facility		$313.77	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $214.41 / $544.85 / $1,299.99	Professional		$214.41	$544.85	$1,299.99
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 $382.53 / $553.29 / $1,355.31	Professional		$382.53	$553.29	$1,355.31
Univera Facility/Professional Facility Modifier Low / Median / High Price $223.37 / $223.37 / $847.99	Facility		$223.37	$223.37	$847.99
Univera Facility/Professional Professional Modifier Low / Median / High Price $352.49 / $566.90 / $1,000.03	Professional		$352.49	$566.90	$1,000.03