Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $285.56 / $3,261.00 / $18,774.16	Facility		$285.56	$3,261.00	$18,774.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.04 / $350.00 / $876.00	Professional		$195.04	$350.00	$876.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.66 / $184.55 / $330.97	Professional		$91.66	$184.55	$330.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,373.00 / $3,699.00 / $8,281.00	Facility		$2,373.00	$3,699.00	$8,281.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $308.50 / $451.80 / $991.23	Professional		$308.50	$451.80	$991.23
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $276.00 / $1,716.00 / $6,213.00	Facility		$276.00	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $276.00 / $276.00 / $726.71	Professional		$276.00	$276.00	$726.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $329.07 / $1,409.00 / $39,142.00	Facility		$329.07	$1,409.00	$39,142.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $214.21 / $474.82 / $1,320.00	Professional		$214.21	$474.82	$1,320.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $215.00 / $298.24 / $610.00	Facility		$215.00	$298.24	$610.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $207.19 / $500.76 / $962.57	Professional		$207.19	$500.76	$962.57
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $446.89 / $446.89 / $639.45	Facility		$446.89	$446.89	$639.45
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $179.32 / $587.59 / $911.94	Professional		$179.32	$587.59	$911.94
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $223.99 / $504.57 / $575.87	Professional		$223.99	$504.57	$575.87
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $541.28 / $2,474.66 / $4,603.34	Facility		$541.28	$2,474.66	$4,603.34
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $226.80 / $255.08 / $698.16	Professional		$226.80	$255.08	$698.16
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $329.07 / $1,470.00 / $39,142.00	Facility		$329.07	$1,470.00	$39,142.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $241.94 / $585.13 / $1,244.83	Professional		$241.94	$585.13	$1,244.83
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 $318.07 / $538.27 / $1,315.83	Professional		$318.07	$538.27	$1,315.83
Univera Facility/Professional Facility Modifier Low / Median / High Price $231.81 / $231.81 / $855.98	Facility		$231.81	$231.81	$855.98
Univera Facility/Professional Professional Modifier Low / Median / High Price $179.32 / $611.08 / $986.14	Professional		$179.32	$611.08	$986.14