Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.64 / $2,739.00 / $10,686.00	Facility		$119.64	$2,739.00	$10,686.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.40 / $314.27 / $742.88	Professional		$100.40	$314.27	$742.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $443.49 / $443.49 / $443.49	Professional		$443.49	$443.49	$443.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,691.00 / $3,366.00 / $4,707.00	Facility		$1,691.00	$3,366.00	$4,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $379.47 / $536.87 / $1,147.89	Professional		$379.47	$536.87	$1,147.89
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $124.92 / $124.92 / $4,050.00	Facility		$124.92	$124.92	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $124.92 / $124.92 / $738.92	Professional		$124.92	$124.92	$738.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $149.37 / $149.37 / $14,648.00	Facility		$149.37	$149.37	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.02 / $318.64 / $1,189.45	Professional		$99.02	$318.64	$1,189.45
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $131.96 / $332.00	Facility		$80.00	$131.96	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $506.73 / $686.90 / $1,030.33	Professional		$506.73	$686.90	$1,030.33
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $375.51 / $658.86 / $1,051.97	Professional		$375.51	$658.86	$1,051.97
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $181.30 / $1,124.47 / $2,305.62	Facility		$181.30	$1,124.47	$2,305.62
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $149.37 / $149.37 / $597.00	Facility		$149.37	$149.37	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $101.45 / $509.74 / $1,256.85	Professional		$101.45	$509.74	$1,256.85
United Facility/Professional Facility Modifier Low / Median / High Price $1,079.00 / $2,884.00 / $4,840.00	Facility		$1,079.00	$2,884.00	$4,840.00
United Facility/Professional Professional Modifier Low / Median / High Price $419.03 / $609.51 / $1,455.93	Professional		$419.03	$609.51	$1,455.93
Univera Facility/Professional Facility Modifier Low / Median / High Price $109.75 / $109.75 / $389.40	Facility		$109.75	$109.75	$389.40
Univera Facility/Professional Professional Modifier Low / Median / High Price $272.56 / $569.94 / $1,051.97	Professional		$272.56	$569.94	$1,051.97