Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $395.21 / $2,736.00 / $8,020.00	Facility		$395.21	$2,736.00	$8,020.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $282.64 / $429.87 / $760.67	Professional		$282.64	$429.87	$760.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $467.65 / $467.65 / $467.65	Professional		$467.65	$467.65	$467.65
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 $344.13 / $437.06 / $972.68	Professional		$344.13	$437.06	$972.68
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $401.25 / $401.25 / $6,213.00	Facility		$401.25	$401.25	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $401.25 / $401.25 / $622.30	Professional		$401.25	$401.25	$622.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $488.52 / $488.52 / $488.52	Facility		$488.52	$488.52	$488.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.89 / $538.03 / $1,361.07	Professional		$295.89	$538.03	$1,361.07
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $195.00 / $329.71 / $741.85	Facility		$195.00	$329.71	$741.85
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $467.42 / $648.84 / $951.74	Professional		$467.42	$648.84	$951.74
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $401.39 / $401.39 / $401.39	Facility		$401.39	$401.39	$401.39
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.82 / $517.61 / $913.08	Professional		$346.82	$517.61	$913.08
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $405.03 / $405.03 / $628.66	Professional		$405.03	$405.03	$628.66
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $488.52 / $555.00 / $597.00	Facility		$488.52	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $327.14 / $574.13 / $1,356.12	Professional		$327.14	$574.13	$1,356.12
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 $379.99 / $543.69 / $1,315.44	Professional		$379.99	$543.69	$1,315.44
Univera Facility/Professional Facility Modifier Low / Median / High Price $346.24 / $346.24 / $1,486.73	Facility		$346.24	$346.24	$1,486.73
Univera Facility/Professional Professional Modifier Low / Median / High Price $346.82 / $559.38 / $913.08	Professional		$346.82	$559.38	$913.08