Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $345.04 / $3,016.00 / $8,907.44	Facility		$345.04	$3,016.00	$8,907.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $249.56 / $355.62 / $687.85	Professional		$249.56	$355.62	$687.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $243.26 / $243.26 / $243.26	Professional		$243.26	$243.26	$243.26
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 $294.14 / $373.58 / $886.83	Professional		$294.14	$373.58	$886.83
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $367.44 / $1,716.00 / $6,213.00	Facility		$367.44	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $367.44 / $367.44 / $556.99	Professional		$367.44	$367.44	$556.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $444.78 / $444.78 / $444.78	Facility		$444.78	$444.78	$444.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $271.05 / $478.27 / $1,239.15	Professional		$271.05	$478.27	$1,239.15
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $173.00 / $300.26 / $675.59	Facility		$173.00	$300.26	$675.59
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $411.93 / $571.33 / $837.97	Professional		$411.93	$571.33	$837.97
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $353.74 / $353.74 / $353.74	Facility		$353.74	$353.74	$353.74
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $279.95 / $390.47 / $810.36	Professional		$279.95	$390.47	$810.36
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,717.85 / $4,467.93 / $4,635.67	Facility		$2,717.85	$4,467.93	$4,635.67
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $300.63 / $300.63 / $565.89	Professional		$300.63	$300.63	$565.89
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $444.78 / $555.00 / $597.00	Facility		$444.78	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $275.00 / $513.91 / $1,235.84	Professional		$275.00	$513.91	$1,235.84
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 $345.87 / $496.32 / $1,205.11	Professional		$345.87	$496.32	$1,205.11
Univera Facility/Professional Facility Modifier Low / Median / High Price $317.23 / $317.23 / $1,113.97	Facility		$317.23	$317.23	$1,113.97
Univera Facility/Professional Professional Modifier Low / Median / High Price $279.95 / $492.97 / $810.36	Professional		$279.95	$492.97	$810.36