Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.58 / $2,775.28 / $8,134.00	Facility		$148.58	$2,775.28	$8,134.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.23 / $181.95 / $336.87	Professional		$108.23	$181.95	$336.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $217.07 / $217.07 / $217.07	Professional		$217.07	$217.07	$217.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,373.00 / $4,085.00 / $8,281.00	Facility		$2,373.00	$4,085.00	$8,281.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.96 / $162.52 / $398.64	Professional		$127.96	$162.52	$398.64
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $154.84 / $154.84 / $6,213.00	Facility		$154.84	$154.84	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $154.84 / $154.84 / $265.61	Professional		$154.84	$154.84	$265.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.01 / $186.01 / $4,612.43	Facility		$186.01	$186.01	$4,612.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.09 / $236.86 / $576.32	Professional		$120.09	$236.86	$576.32
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $171.60 / $346.00	Facility		$100.00	$171.60	$346.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $193.93 / $251.57 / $376.21	Professional		$193.93	$251.57	$376.21
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.37 / $173.37 / $173.37	Facility		$173.37	$173.37	$173.37
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.76 / $199.38 / $349.66	Professional		$135.76	$199.38	$349.66
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,115.97 / $4,115.97 / $4,115.97	Facility		$4,115.97	$4,115.97	$4,115.97
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $186.01 / $341.21 / $4,612.43	Facility		$186.01	$341.21	$4,612.43
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $126.66 / $244.81 / $558.05	Professional		$126.66	$244.81	$558.05
United Facility/Professional Facility Modifier Low / Median / High Price $1,673.00 / $3,439.00 / $7,203.00	Facility		$1,673.00	$3,439.00	$7,203.00
United Facility/Professional Professional Modifier Low / Median / High Price $144.71 / $206.32 / $452.31	Professional		$144.71	$206.32	$452.31
Univera Facility/Professional Facility Modifier Low / Median / High Price $132.90 / $132.90 / $443.76	Facility		$132.90	$132.90	$443.76
Univera Facility/Professional Professional Modifier Low / Median / High Price $135.76 / $252.68 / $378.11	Professional		$135.76	$252.68	$378.11