Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $367.76 / $3,016.00 / $8,907.44	Facility		$367.76	$3,016.00	$8,907.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.93 / $394.58 / $697.58	Professional		$250.93	$394.58	$697.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $126.05 / $126.05 / $126.05	Professional		$126.05	$126.05	$126.05
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 $325.45 / $413.35 / $906.01	Professional		$325.45	$413.35	$906.01
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $375.49 / $1,716.00 / $6,213.00	Facility		$375.49	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $375.49 / $375.49 / $587.48	Professional		$375.49	$375.49	$587.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $459.93 / $459.93 / $459.93	Facility		$459.93	$459.93	$459.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $278.39 / $506.14 / $1,278.31	Professional		$278.39	$506.14	$1,278.31
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $130.00 / $314.99 / $708.73	Facility		$130.00	$314.99	$708.73
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $443.18 / $617.85 / $906.85	Professional		$443.18	$617.85	$906.85
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $380.58 / $380.58 / $380.58	Facility		$380.58	$380.58	$380.58
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $317.80 / $490.75 / $865.69	Professional		$317.80	$490.75	$865.69
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,684.17 / $2,684.17 / $2,684.17	Facility		$2,684.17	$2,684.17	$2,684.17
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $366.21 / $366.21 / $589.45	Professional		$366.21	$366.21	$589.45
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $459.93 / $555.00 / $597.00	Facility		$459.93	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $288.43 / $539.04 / $1,267.58	Professional		$288.43	$539.04	$1,267.58
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 $358.62 / $510.46 / $1,241.81	Professional		$358.62	$510.46	$1,241.81
Univera Facility/Professional Facility Modifier Low / Median / High Price $328.06 / $328.06 / $1,173.04	Facility		$328.06	$328.06	$1,173.04
Univera Facility/Professional Professional Modifier Low / Median / High Price $328.06 / $530.37 / $865.69	Professional		$328.06	$530.37	$865.69