Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.14 / $1,819.00 / $7,028.00	Facility		$173.14	$1,819.00	$7,028.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.11 / $202.11 / $419.83	Professional		$133.11	$202.11	$419.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $360.85 / $360.85 / $360.85	Professional		$360.85	$360.85	$360.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,651.00 / $3,263.00 / $4,636.00	Facility		$1,651.00	$3,263.00	$4,636.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.59 / $205.74 / $425.90	Professional		$164.59	$205.74	$425.90
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $189.34 / $1,254.00 / $4,050.00	Facility		$189.34	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $189.34 / $189.34 / $274.32	Professional		$189.34	$189.34	$274.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.43 / $229.43 / $3,479.91	Facility		$229.43	$229.43	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.41 / $264.69 / $635.04	Professional		$140.41	$264.69	$635.04
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $146.65 / $234.70 / $360.00	Facility		$146.65	$234.70	$360.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $200.94 / $260.18 / $386.89	Professional		$200.94	$260.18	$386.89
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $178.29 / $178.29 / $482.13	Facility		$178.29	$178.29	$482.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $160.93 / $205.03 / $353.12	Professional		$160.93	$205.03	$353.12
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $374.69 / $451.80 / $3,700.18	Facility		$374.69	$451.80	$3,700.18
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $229.43 / $330.66 / $3,479.91	Facility		$229.43	$330.66	$3,479.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $147.16 / $269.22 / $630.08	Professional		$147.16	$269.22	$630.08
United Facility/Professional Facility Modifier Low / Median / High Price $671.00 / $2,597.00 / $4,840.00	Facility		$671.00	$2,597.00	$4,840.00
United Facility/Professional Professional Modifier Low / Median / High Price $157.63 / $223.27 / $571.29	Professional		$157.63	$223.27	$571.29
Univera Facility/Professional Facility Modifier Low / Median / High Price $163.97 / $163.97 / $533.30	Facility		$163.97	$163.97	$533.30
Univera Facility/Professional Professional Modifier Low / Median / High Price $171.88 / $250.49 / $389.51	Professional		$171.88	$250.49	$389.51