Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $291.73 / $3,020.00 / $8,207.16	Facility		$291.73	$3,020.00	$8,207.16
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $119.96 / $180.88 / $456.69	Facility	52	$119.96	$180.88	$456.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.53 / $341.93 / $1,014.94	Professional		$208.53	$341.93	$1,014.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $88.44 / $187.45 / $203.03	Professional		$88.44	$187.45	$203.03
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 $377.50 / $574.62 / $1,223.95	Professional		$377.50	$574.62	$1,223.95
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $282.39 / $1,716.00 / $6,213.00	Facility		$282.39	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $282.39 / $282.39 / $962.29	Professional		$282.39	$282.39	$962.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $336.48 / $1,409.00 / $39,142.00	Facility		$336.48	$1,409.00	$39,142.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $269.18 / $269.18 / $269.18	Facility	52	$269.18	$269.18	$269.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.47 / $566.26 / $1,743.90	Professional		$229.47	$566.26	$1,743.90
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $240.45 / $319.00 / $629.35	Facility		$240.45	$319.00	$629.35
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $207.19 / $628.76 / $1,208.60	Professional		$207.19	$628.76	$1,208.60
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $560.07 / $560.07 / $639.45	Facility		$560.07	$560.07	$639.45
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $232.74 / $741.48 / $1,150.77	Professional		$232.74	$741.48	$1,150.77
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,530.74 / $1,530.74 / $3,664.32	Facility		$1,530.74	$1,530.74	$3,664.32
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $232.07 / $261.22 / $283.95	Professional		$232.07	$261.22	$283.95
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $336.48 / $1,470.00 / $39,142.00	Facility		$336.48	$1,470.00	$39,142.00
MVP Health Care Facility/Professional Facility Modifier 52 Low / Median / High Price $269.18 / $269.18 / $269.18	Facility	52	$269.18	$269.18	$269.18
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $260.12 / $708.82 / $1,638.05	Professional		$260.12	$708.82	$1,638.05
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 $442.31 / $715.65 / $1,672.89	Professional		$442.31	$715.65	$1,672.89
Univera Facility/Professional Facility Modifier Low / Median / High Price $236.83 / $236.83 / $1,106.79	Facility		$236.83	$236.83	$1,106.79
Univera Facility/Professional Professional Modifier Low / Median / High Price $232.74 / $741.48 / $1,244.40	Professional		$232.74	$741.48	$1,244.40