Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $311.89 / $2,884.50 / $8,907.44	Facility		$311.89	$2,884.50	$8,907.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $205.26 / $440.95 / $1,141.40	Professional		$205.26	$440.95	$1,141.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $162.81 / $174.77 / $231.36	Professional		$162.81	$174.77	$231.36
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 $243.27 / $308.45 / $1,100.43	Professional		$243.27	$308.45	$1,100.43
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $248.34 / $1,716.00 / $6,213.00	Facility		$248.34	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $248.34 / $248.34 / $429.30	Professional		$248.34	$248.34	$429.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $297.22 / $297.22 / $297.22	Facility		$297.22	$297.22	$297.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $206.43 / $551.67 / $1,351.06	Professional		$206.43	$551.67	$1,351.06
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $195.92 / $333.06 / $780.00	Facility		$195.92	$333.06	$780.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $312.58 / $433.73 / $665.11	Professional		$312.58	$433.73	$665.11
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $268.42 / $268.42 / $268.42	Facility		$268.42	$268.42	$268.42
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $264.27 / $390.63 / $615.89	Professional		$264.27	$390.63	$615.89
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $863.11 / $2,464.80 / $5,297.67	Facility		$863.11	$2,464.80	$5,297.67
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $193.52 / $227.52 / $252.32	Professional		$193.52	$227.52	$252.32
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $297.22 / $555.00 / $597.00	Facility		$297.22	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $251.80 / $622.39 / $1,434.76	Professional		$251.80	$622.39	$1,434.76
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 $346.96 / $660.71 / $1,681.42	Professional		$346.96	$660.71	$1,681.42
Univera Facility/Professional Facility Modifier Low / Median / High Price $207.77 / $207.77 / $1,326.82	Facility		$207.77	$207.77	$1,326.82
Univera Facility/Professional Professional Modifier Low / Median / High Price $268.42 / $390.63 / $615.89	Professional		$268.42	$390.63	$615.89