Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $348.30 / $3,016.00 / $8,134.00	Facility		$348.30	$3,016.00	$8,134.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $233.25 / $364.33 / $942.92	Professional		$233.25	$364.33	$942.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $122.49 / $122.49 / $122.49	Professional		$122.49	$122.49	$122.49
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 $301.24 / $382.59 / $852.27	Professional		$301.24	$382.59	$852.27
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $339.92 / $339.92 / $6,213.00	Facility		$339.92	$339.92	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $339.92 / $339.92 / $547.13	Professional		$339.92	$339.92	$547.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $410.50 / $410.50 / $410.50	Facility		$410.50	$410.50	$410.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $256.06 / $475.83 / $1,207.54	Professional		$256.06	$475.83	$1,207.54
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $130.00 / $290.98 / $623.84	Facility		$130.00	$290.98	$623.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $405.37 / $562.22 / $824.28	Professional		$405.37	$562.22	$824.28
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $348.10 / $348.10 / $348.10	Facility		$348.10	$348.10	$348.10
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $308.70 / $451.56 / $796.56	Professional		$308.70	$451.56	$796.56
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $275.16 / $275.16 / $954.65	Facility		$275.16	$275.16	$954.65
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $349.15 / $414.25 / $558.51	Professional		$349.15	$414.25	$558.51
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $410.50 / $555.00 / $597.00	Facility		$410.50	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $279.68 / $511.01 / $1,207.02	Professional		$279.68	$511.01	$1,207.02
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 $345.80 / $495.21 / $1,194.80	Professional		$345.80	$495.21	$1,194.80
Univera Facility/Professional Facility Modifier Low / Median / High Price $293.61 / $293.61 / $1,205.85	Facility		$293.61	$293.61	$1,205.85
Univera Facility/Professional Professional Modifier Low / Median / High Price $308.70 / $485.12 / $796.56	Professional		$308.70	$485.12	$796.56