Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.32 / $3,316.00 / $7,705.02	Facility		$218.32	$3,316.00	$7,705.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.37 / $191.21 / $343.60	Professional		$154.37	$191.21	$343.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.87 / $145.72 / $281.14	Professional		$72.87	$145.72	$281.14
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 $127.15 / $157.88 / $387.72	Professional		$127.15	$157.88	$387.72
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $223.77 / $1,716.00 / $6,213.00	Facility		$223.77	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $223.77 / $223.77 / $223.77	Professional		$223.77	$223.77	$223.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.03 / $178.03 / $4,612.43	Facility		$178.03	$178.03	$4,612.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.60 / $274.61 / $614.55	Professional		$132.60	$274.61	$614.55
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $190.49 / $295.00 / $594.37	Facility		$190.49	$295.00	$594.37
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $160.13 / $212.47 / $317.97	Professional		$160.13	$212.47	$317.97
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $146.53 / $146.53 / $639.45	Facility		$146.53	$146.53	$639.45
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.16 / $179.90 / $291.31	Professional		$136.16	$179.90	$291.31
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,986.24 / $1,986.93 / $1,991.74	Facility		$1,986.24	$1,986.93	$1,991.74
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $294.32 / $309.91 / $319.22	Professional		$294.32	$309.91	$319.22
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $178.03 / $597.00 / $5,855.00	Facility		$178.03	$597.00	$5,855.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $163.69 / $246.56 / $556.91	Professional		$163.69	$246.56	$556.91
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 $134.63 / $186.84 / $440.39	Professional		$134.63	$186.84	$440.39
Univera Facility/Professional Facility Modifier Low / Median / High Price $187.70 / $187.70 / $671.34	Facility		$187.70	$187.70	$671.34
Univera Facility/Professional Professional Modifier Low / Median / High Price $145.00 / $210.51 / $399.03	Professional		$145.00	$210.51	$399.03