Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.73 / $3,414.00 / $8,496.60	Facility		$288.73	$3,414.00	$8,496.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.04 / $386.51 / $857.91	Professional		$175.04	$386.51	$857.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $229.23 / $232.83 / $298.42	Professional		$229.23	$232.83	$298.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,248.00 / $5,196.00 / $12,164.00	Facility		$3,248.00	$5,196.00	$12,164.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.99 / $197.38 / $706.39	Professional		$150.99	$197.38	$706.39
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $244.74 / $1,990.00 / $8,917.50	Facility		$244.74	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $244.74 / $244.74 / $244.74	Professional		$244.74	$244.74	$244.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.23 / $194.23 / $194.23	Facility		$194.23	$194.23	$194.23
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $19.01 / $19.01 / $19.01	Facility	AS	$19.01	$19.01	$19.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.33 / $363.16 / $1,334.06	Professional		$173.33	$363.16	$1,334.06
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $200.37 / $450.83 / $1,172.40	Facility		$200.37	$450.83	$1,172.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $200.37 / $290.79 / $3,449.77	Professional		$200.37	$290.79	$3,449.77
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $158.90 / $158.90 / $158.90	Facility		$158.90	$158.90	$158.90
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.80 / $238.38 / $574.74	Professional		$139.80	$238.38	$574.74
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $418.14 / $1,740.63 / $3,107.50	Facility		$418.14	$1,740.63	$3,107.50
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $174.14 / $245.80 / $313.49	Professional		$174.14	$245.80	$313.49
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $194.23 / $555.00 / $597.00	Facility		$194.23	$555.00	$597.00
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $19.01 / $19.01 / $19.01	Facility	AS	$19.01	$19.01	$19.01
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $182.11 / $308.80 / $1,301.25	Professional		$182.11	$308.80	$1,301.25
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 $159.84 / $233.50 / $759.63	Professional		$159.84	$233.50	$759.63
Univera Facility/Professional Facility Modifier Low / Median / High Price $202.51 / $202.51 / $3,159.58	Facility		$202.51	$202.51	$3,159.58
Univera Facility/Professional Professional Modifier Low / Median / High Price $158.90 / $238.38 / $574.74	Professional		$158.90	$238.38	$574.74