Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.58 / $156.77 / $833.98	Facility		$114.58	$156.77	$833.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.93 / $133.52 / $221.24	Professional		$98.93	$133.52	$221.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $118.56 / $118.56 / $118.56	Professional		$118.56	$118.56	$118.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $3,373.00 / $4,707.00	Facility		$1,689.00	$3,373.00	$4,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.49 / $127.41 / $293.27	Professional		$100.49	$127.41	$293.27
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $141.77 / $141.77 / $6,213.00	Facility		$141.77	$141.77	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $141.77 / $141.77 / $181.87	Professional		$141.77	$141.77	$181.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $167.40 / $167.40 / $14,648.00	Facility		$167.40	$167.40	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.19 / $181.36 / $435.07	Professional		$106.19	$181.36	$435.07
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $123.00 / $332.00	Facility		$60.00	$123.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $141.00 / $194.06 / $284.39	Professional		$141.00	$194.06	$284.39
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $121.08 / $121.08 / $121.08	Facility		$121.08	$121.08	$121.08
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.86 / $155.18 / $273.75	Professional		$111.86	$155.18	$273.75
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $276.14 / $276.14 / $442.83	Facility		$276.14	$276.14	$442.83
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.03 / $184.89 / $185.90	Professional		$144.03	$184.89	$185.90
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $167.40 / $555.00 / $597.00	Facility		$167.40	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $114.57 / $188.34 / $434.54	Professional		$114.57	$188.34	$434.54
United Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,826.00 / $4,851.00	Facility		$964.00	$2,826.00	$4,851.00
United Facility/Professional Professional Modifier Low / Median / High Price $114.11 / $162.58 / $392.73	Professional		$114.11	$162.58	$392.73
Univera Facility/Professional Facility Modifier Low / Median / High Price $118.46 / $118.46 / $529.92	Facility		$118.46	$118.46	$529.92
Univera Facility/Professional Professional Modifier Low / Median / High Price $121.08 / $168.74 / $273.75	Professional		$121.08	$168.74	$273.75