Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.75 / $3,060.00 / $10,152.00	Facility		$182.75	$3,060.00	$10,152.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.73 / $237.83 / $562.36	Professional		$124.73	$237.83	$562.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $123.06 / $123.06 / $133.97	Professional		$123.06	$123.06	$133.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $3,373.00 / $4,707.00	Facility		$1,689.00	$3,373.00	$4,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $187.94 / $238.70 / $562.50	Professional		$187.94	$238.70	$562.50
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $188.22 / $188.22 / $6,213.00	Facility		$188.22	$188.22	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $188.22 / $188.22 / $357.72	Professional		$188.22	$188.22	$357.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $224.98 / $224.98 / $224.98	Facility		$224.98	$224.98	$224.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.32 / $296.50 / $789.63	Professional		$142.32	$296.50	$789.63
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $162.90 / $341.69	Facility		$35.00	$162.90	$341.69
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $256.39 / $357.43 / $524.57	Professional		$256.39	$357.43	$524.57
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $220.17 / $220.17 / $220.17	Facility		$220.17	$220.17	$220.17
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $201.77 / $287.56 / $507.26	Professional		$201.77	$287.56	$507.26
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $216.39 / $569.11 / $1,376.78	Facility		$216.39	$569.11	$1,376.78
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $192.83 / $308.24 / $366.39	Professional		$192.83	$308.24	$366.39
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $224.98 / $555.00 / $597.00	Facility		$224.98	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $146.33 / $319.42 / $796.12	Professional		$146.33	$319.42	$796.12
United Facility/Professional Facility Modifier Low / Median / High Price $1,657.00 / $3,146.00 / $5,413.00	Facility		$1,657.00	$3,146.00	$5,413.00
United Facility/Professional Professional Modifier Low / Median / High Price $223.01 / $314.39 / $794.63	Professional		$223.01	$314.39	$794.63
Univera Facility/Professional Facility Modifier Low / Median / High Price $160.41 / $160.41 / $609.50	Facility		$160.41	$160.41	$609.50
Univera Facility/Professional Professional Modifier Low / Median / High Price $201.77 / $306.82 / $507.26	Professional		$201.77	$306.82	$507.26