Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $215.75 / $2,739.00 / $9,661.00	Facility		$215.75	$2,739.00	$9,661.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.09 / $423.99 / $988.04	Professional		$139.09	$423.99	$988.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $154.00 / $154.00 / $154.00	Professional		$154.00	$154.00	$154.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,393.00 / $4,120.00 / $8,836.00	Facility		$2,393.00	$4,120.00	$8,836.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $527.79 / $773.67 / $1,648.35	Professional		$527.79	$773.67	$1,648.35
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $236.16 / $1,990.00 / $16,534.50	Facility		$236.16	$1,990.00	$16,534.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $236.16 / $236.16 / $1,037.80	Professional		$236.16	$236.16	$1,037.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $283.56 / $283.56 / $283.56	Facility		$283.56	$283.56	$283.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.74 / $528.46 / $1,539.12	Professional		$157.74	$528.46	$1,539.12
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $172.95 / $280.98 / $763.04	Facility		$172.95	$280.98	$763.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $703.58 / $938.10 / $1,352.43	Professional		$703.58	$938.10	$1,352.43
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $423.60 / $876.17 / $1,278.02	Professional		$423.60	$876.17	$1,278.02
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $362.61 / $844.50 / $1,689.00	Facility		$362.61	$844.50	$1,689.00
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $202.59 / $394.76 / $885.84	Professional		$202.59	$394.76	$885.84
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $283.56 / $283.56 / $597.00	Facility		$283.56	$283.56	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $171.40 / $636.24 / $1,665.12	Professional		$171.40	$636.24	$1,665.12
United Facility/Professional Facility Modifier Low / Median / High Price $1,807.00 / $4,445.00 / $8,133.00	Facility		$1,807.00	$4,445.00	$8,133.00
United Facility/Professional Professional Modifier Low / Median / High Price $652.01 / $848.58 / $2,138.92	Professional		$652.01	$848.58	$2,138.92
Univera Facility/Professional Facility Modifier Low / Median / High Price $208.56 / $208.56 / $257.93	Facility		$208.56	$208.56	$257.93
Univera Facility/Professional Professional Modifier Low / Median / High Price $416.71 / $876.17 / $1,382.01	Professional		$416.71	$876.17	$1,382.01