Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $299.83 / $3,414.00 / $9,299.00	Facility		$299.83	$3,414.00	$9,299.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $185.35 / $397.12 / $676.27	Professional		$185.35	$397.12	$676.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $130.63 / $130.63 / $141.58	Professional		$130.63	$130.63	$141.58
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 $204.65 / $259.49 / $959.51	Professional		$204.65	$259.49	$959.51
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $446.74 / $1,990.00 / $8,917.50	Facility		$446.74	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $446.74 / $446.74 / $621.97	Professional		$446.74	$446.74	$621.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $240.69 / $240.69 / $240.69	Facility		$240.69	$240.69	$240.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.73 / $516.95 / $1,270.72	Professional		$166.73	$516.95	$1,270.72
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $164.73 / $236.50 / $371.95	Facility		$164.73	$236.50	$371.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $277.89 / $364.01 / $585.76	Professional		$277.89	$364.01	$585.76
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $226.70 / $226.70 / $226.70	Facility		$226.70	$226.70	$226.70
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $222.76 / $340.09 / $519.13	Professional		$222.76	$340.09	$519.13
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $453.89 / $453.89 / $453.89	Professional		$453.89	$453.89	$453.89
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $240.69 / $555.00 / $597.00	Facility		$240.69	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $183.75 / $544.96 / $1,325.82	Professional		$183.75	$544.96	$1,325.82
United Facility/Professional Facility Modifier Low / Median / High Price $2,031.00 / $4,840.00 / $9,416.00	Facility		$2,031.00	$4,840.00	$9,416.00
United Facility/Professional Professional Modifier Low / Median / High Price $290.64 / $535.40 / $1,393.72	Professional		$290.64	$535.40	$1,393.72
Univera Facility/Professional Facility Modifier Low / Median / High Price $169.12 / $169.12 / $1,159.16	Facility		$169.12	$169.12	$1,159.16
Univera Facility/Professional Professional Modifier Low / Median / High Price $226.70 / $340.09 / $519.13	Professional		$226.70	$340.09	$519.13