Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $240.93 / $2,884.50 / $7,521.00	Facility		$240.93	$2,884.50	$7,521.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.93 / $279.67 / $741.74	Professional		$175.93	$279.67	$741.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $286.98 / $286.98 / $286.98	Professional		$286.98	$286.98	$286.98
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 $272.02 / $415.06 / $881.55	Professional		$272.02	$415.06	$881.55
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $240.09 / $1,716.00 / $6,213.00	Facility		$240.09	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $240.09 / $240.09 / $663.11	Professional		$240.09	$240.09	$663.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $286.80 / $1,409.00 / $39,142.00	Facility		$286.80	$1,409.00	$39,142.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.72 / $425.19 / $1,198.38	Professional		$187.72	$425.19	$1,198.38
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $188.00 / $282.00 / $610.00	Facility		$188.00	$282.00	$610.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $207.19 / $458.57 / $854.14	Professional		$207.19	$458.57	$854.14
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $407.01 / $407.01 / $639.45	Facility		$407.01	$407.01	$639.45
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $155.32 / $499.70 / $828.03	Professional		$155.32	$499.70	$828.03
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $928.08 / $928.08 / $3,405.48	Facility		$928.08	$928.08	$3,405.48
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $286.80 / $1,470.00 / $39,142.00	Facility		$286.80	$1,470.00	$39,142.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $214.07 / $534.09 / $1,132.44	Professional		$214.07	$534.09	$1,132.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,269.00 / $3,612.00 / $8,133.00	Facility		$1,269.00	$3,612.00	$8,133.00
United Facility/Professional Professional Modifier Low / Median / High Price $290.17 / $459.76 / $1,122.78	Professional		$290.17	$459.76	$1,122.78
Univera Facility/Professional Facility Modifier Low / Median / High Price $201.04 / $201.04 / $747.23	Facility		$201.04	$201.04	$747.23
Univera Facility/Professional Professional Modifier Low / Median / High Price $155.32 / $531.23 / $895.40	Professional		$155.32	$531.23	$895.40