Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.66 / $2,159.00 / $7,735.00	Facility		$107.66	$2,159.00	$7,735.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.21 / $154.90 / $311.06	Professional		$82.21	$154.90	$311.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.24 / $37.49 / $39.72	Professional		$32.24	$37.49	$39.72
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 $124.42 / $164.16 / $385.12	Professional		$124.42	$164.16	$385.12
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $111.65 / $1,254.00 / $4,050.00	Facility		$111.65	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $111.65 / $111.65 / $269.20	Professional		$111.65	$111.65	$269.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $133.93 / $133.93 / $3,479.91	Facility		$133.93	$133.93	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.88 / $188.88 / $570.00	Professional		$85.88	$188.88	$570.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $86.25 / $135.71 / $346.00	Facility		$86.25	$135.71	$346.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $78.63 / $193.91 / $362.03	Professional		$78.63	$193.91	$362.03
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $172.89 / $172.89 / $482.13	Facility		$172.89	$172.89	$482.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.50 / $223.19 / $346.39	Professional		$139.50	$223.19	$346.39
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $413.47 / $944.15 / $1,813.95	Facility		$413.47	$944.15	$1,813.95
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.52 / $111.64 / $248.44	Professional		$101.52	$111.64	$248.44
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $133.93 / $555.00 / $3,479.91	Facility		$133.93	$555.00	$3,479.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $95.00 / $222.32 / $523.79	Professional		$95.00	$222.32	$523.79
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 $143.12 / $205.79 / $481.41	Professional		$143.12	$205.79	$481.41
Univera Facility/Professional Facility Modifier Low / Median / High Price $94.86 / $94.86 / $482.13	Facility		$94.86	$94.86	$482.13
Univera Facility/Professional Professional Modifier Low / Median / High Price $139.50 / $232.11 / $374.58	Professional		$139.50	$232.11	$374.58