Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $361.90 / $2,884.50 / $7,735.00	Facility		$361.90	$2,884.50	$7,735.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.70 / $406.84 / $872.10	Professional		$186.70	$406.84	$872.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.45 / $178.59 / $275.70	Professional		$83.45	$178.59	$275.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,248.00 / $5,196.00 / $11,909.00	Facility		$3,248.00	$5,196.00	$11,909.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $248.27 / $314.80 / $1,109.44	Professional		$248.27	$314.80	$1,109.44
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $256.00 / $1,716.00 / $6,213.00	Facility		$256.00	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $256.00 / $256.00 / $438.39	Professional		$256.00	$256.00	$438.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $304.76 / $304.76 / $304.76	Facility		$304.76	$304.76	$304.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.74 / $573.40 / $1,410.29	Professional		$212.74	$573.40	$1,410.29
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $200.76 / $377.00 / $780.00	Facility		$200.76	$377.00	$780.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $318.76 / $442.17 / $712.81	Professional		$318.76	$442.17	$712.81
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $273.73 / $273.73 / $273.73	Facility		$273.73	$273.73	$273.73
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $268.56 / $410.65 / $625.86	Professional		$268.56	$410.65	$625.86
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,228.22 / $4,354.80 / $6,360.27	Facility		$1,228.22	$4,354.80	$6,360.27
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $206.98 / $260.10 / $445.41	Professional		$206.98	$260.10	$445.41
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $304.76 / $555.00 / $597.00	Facility		$304.76	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $264.27 / $637.57 / $1,524.76	Professional		$264.27	$637.57	$1,524.76
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 $364.49 / $662.79 / $1,629.64	Professional		$364.49	$662.79	$1,629.64
Univera Facility/Professional Facility Modifier Low / Median / High Price $213.03 / $213.03 / $1,544.78	Facility		$213.03	$213.03	$1,544.78
Univera Facility/Professional Professional Modifier Low / Median / High Price $273.73 / $410.59 / $625.86	Professional		$273.73	$410.59	$625.86