Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $156.81 / $2,630.00 / $7,095.00	Facility		$156.81	$2,630.00	$7,095.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.55 / $253.23 / $1,096.85	Professional		$104.55	$253.23	$1,096.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.39 / $89.39 / $97.94	Professional		$89.39	$89.39	$97.94
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 $249.22 / $596.28 / $1,309.82	Professional		$249.22	$596.28	$1,309.82
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $141.54 / $141.54 / $4,050.00	Facility		$141.54	$141.54	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $141.54 / $141.54 / $982.81	Professional		$141.54	$141.54	$982.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.35 / $169.35 / $6,511.02	Facility		$169.35	$169.35	$6,511.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.18 / $484.88 / $1,804.52	Professional		$110.18	$484.88	$1,804.52
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $82.00 / $153.97 / $346.00	Facility		$82.00	$153.97	$346.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $670.09 / $874.92 / $1,288.05	Professional		$670.09	$874.92	$1,288.05
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $591.83 / $591.83 / $639.45	Facility		$591.83	$591.83	$639.45
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $146.02 / $817.00 / $1,226.77	Professional		$146.02	$817.00	$1,226.77
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $679.46 / $781.77 / $781.77	Professional		$679.46	$781.77	$781.77
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $738.20 / $1,202.79	Facility		$50.00	$738.20	$1,202.79
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.77 / $140.77 / $140.77	Professional		$140.77	$140.77	$140.77
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $169.35 / $597.00 / $6,511.02	Facility		$169.35	$597.00	$6,511.02
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $723.65 / $1,695.11	Professional		$100.00	$723.65	$1,695.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,269.00 / $3,458.00 / $8,028.00	Facility		$1,269.00	$3,458.00	$8,028.00
United Facility/Professional Professional Modifier Low / Median / High Price $533.08 / $735.35 / $1,748.66	Professional		$533.08	$735.35	$1,748.66
Univera Facility/Professional Facility Modifier Low / Median / High Price $145.86 / $145.86 / $591.83	Facility		$145.86	$145.86	$591.83
Univera Facility/Professional Professional Modifier Low / Median / High Price $146.02 / $817.00 / $1,326.59	Professional		$146.02	$817.00	$1,326.59