Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $268.79 / $3,058.36 / $9,477.00	Facility		$268.79	$3,058.36	$9,477.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $209.94 / $305.13 / $587.05	Professional		$209.94	$305.13	$587.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $179.91 / $179.91 / $179.91	Professional		$179.91	$179.91	$179.91
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 $208.10 / $272.02 / $708.30	Professional		$208.10	$272.02	$708.30
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $266.58 / $1,254.00 / $4,050.00	Facility		$266.58	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $266.58 / $266.58 / $320.52	Professional		$266.58	$266.58	$320.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $318.74 / $318.74 / $3,479.91	Facility		$318.74	$318.74	$3,479.91
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $31.87 / $31.87 / $31.87	Facility	AS	$31.87	$31.87	$31.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.42 / $326.30 / $737.03	Professional		$171.42	$326.30	$737.03
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $202.00 / $283.35 / $490.41	Facility		$202.00	$283.35	$490.41
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $230.40 / $307.20 / $444.65	Professional		$230.40	$307.20	$444.65
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $185.79 / $262.18 / $382.82	Professional		$185.79	$262.18	$382.82
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,463.42 / $2,506.48 / $4,600.13	Facility		$1,463.42	$2,506.48	$4,600.13
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $226.41 / $226.41 / $226.41	Professional		$226.41	$226.41	$226.41
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $318.74 / $597.00 / $74,999.25	Facility		$318.74	$597.00	$74,999.25
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $31.87 / $31.87 / $31.87	Facility	AS	$31.87	$31.87	$31.87
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $185.59 / $369.09 / $801.75	Professional		$185.59	$369.09	$801.75
United Facility/Professional Facility Modifier Low / Median / High Price $1,768.00 / $3,961.00 / $8,312.00	Facility		$1,768.00	$3,961.00	$8,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $215.85 / $296.76 / $658.93	Professional		$215.85	$296.76	$658.93
Univera Facility/Professional Facility Modifier Low / Median / High Price $237.93 / $237.93 / $744.98	Facility		$237.93	$237.93	$744.98
Univera Facility/Professional Professional Modifier Low / Median / High Price $185.79 / $319.05 / $475.40	Professional		$185.79	$319.05	$475.40