Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.04 / $2,842.00 / $9,038.00	Facility		$93.04	$2,842.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.06 / $126.39 / $255.28	Professional		$70.06	$126.39	$255.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $241.64 / $241.64 / $241.64	Professional		$241.64	$241.64	$241.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,691.00 / $3,382.00 / $4,707.00	Facility		$1,691.00	$3,382.00	$4,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.94 / $134.55 / $293.72	Professional		$95.94	$134.55	$293.72
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $98.35 / $98.35 / $4,050.00	Facility		$98.35	$98.35	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $98.35 / $98.35 / $177.60	Professional		$98.35	$98.35	$177.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.78 / $117.78 / $14,648.00	Facility		$117.78	$117.78	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.78 / $132.93 / $303.91	Professional		$71.78	$132.93	$303.91
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $90.93 / $332.00	Facility		$50.00	$90.93	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $142.18 / $167.68 / $345.13	Professional		$142.18	$167.68	$345.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.60 / $119.19 / $227.72	Professional		$103.60	$119.19	$227.72
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.45 / $149.02 / $150.66	Professional		$113.45	$149.02	$150.66
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $117.78 / $555.00 / $74,999.25	Facility		$117.78	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $80.62 / $152.93 / $314.42	Professional		$80.62	$152.93	$314.42
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 $99.32 / $141.69 / $299.10	Professional		$99.32	$141.69	$299.10
Univera Facility/Professional Facility Modifier Low / Median / High Price $82.76 / $82.76 / $295.98	Facility		$82.76	$82.76	$295.98
Univera Facility/Professional Professional Modifier Low / Median / High Price $99.78 / $125.23 / $258.83	Professional		$99.78	$125.23	$258.83