Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.23 / $2,842.00 / $9,578.32	Facility		$182.23	$2,842.00	$9,578.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.83 / $294.19 / $576.58	Professional		$124.83	$294.19	$576.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $53.43 / $102.81 / $116.80	Professional		$53.43	$102.81	$116.80
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 $207.92 / $266.11 / $656.10	Professional		$207.92	$266.11	$656.10
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $169.18 / $1,254.00 / $4,050.00	Facility		$169.18	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $169.18 / $169.18 / $435.12	Professional		$169.18	$169.18	$435.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $202.46 / $202.46 / $3,479.91	Facility		$202.46	$202.46	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.63 / $313.04 / $733.09	Professional		$131.63	$313.04	$733.09
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $144.79 / $242.00 / $453.50	Facility		$144.79	$242.00	$453.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $307.05 / $400.88 / $593.41	Professional		$307.05	$400.88	$593.41
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $273.45 / $273.45 / $482.13	Facility		$273.45	$273.45	$482.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $271.86 / $388.31 / $552.83	Professional		$271.86	$388.31	$552.83
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $348.34 / $348.34 / $348.34	Professional		$348.34	$348.34	$348.34
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $609.53 / $1,985.34 / $2,834.28	Facility		$609.53	$1,985.34	$2,834.28
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.47 / $168.26 / $170.11	Professional		$138.47	$168.26	$170.11
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $202.46 / $597.00 / $5,855.00	Facility		$202.46	$597.00	$5,855.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $150.22 / $369.98 / $733.09	Professional		$150.22	$369.98	$733.09
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 $240.70 / $330.53 / $724.10	Professional		$240.70	$330.53	$724.10
Univera Facility/Professional Facility Modifier Low / Median / High Price $173.37 / $173.37 / $859.45	Facility		$173.37	$173.37	$859.45
Univera Facility/Professional Professional Modifier Low / Median / High Price $274.18 / $399.50 / $597.80	Professional		$274.18	$399.50	$597.80