Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.72 / $3,756.00 / $9,038.00	Facility		$363.72	$3,756.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $285.01 / $536.86 / $4,254.18	Professional		$285.01	$536.86	$4,254.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $229.95 / $239.47 / $1,928.42	Professional		$229.95	$239.47	$1,928.42
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 $561.02 / $2,472.94 / $5,682.41	Professional		$561.02	$2,472.94	$5,682.41
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $381.22 / $381.22 / $6,213.00	Facility		$381.22	$381.22	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $381.22 / $381.22 / $4,059.02	Professional		$381.22	$381.22	$4,059.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $454.13 / $1,640.00 / $39,142.00	Facility		$454.13	$1,640.00	$39,142.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $311.33 / $907.85 / $6,891.98	Professional		$311.33	$907.85	$6,891.98
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $279.69 / $332.00 / $682.47	Facility		$279.69	$332.00	$682.47
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,372.69 / $3,078.70 / $4,625.00	Professional		$2,372.69	$3,078.70	$4,625.00
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $639.45 / $639.45 / $2,123.23	Facility		$639.45	$639.45	$2,123.23
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $428.84 / $2,963.85 / $4,450.35	Professional		$428.84	$2,963.85	$4,450.35
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $218.39 / $218.39 / $218.39	Professional		$218.39	$218.39	$218.39
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $623.64 / $1,229.09 / $2,293.98	Facility		$623.64	$1,229.09	$2,293.98
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $450.07 / $450.07 / $500.24	Professional		$450.07	$450.07	$500.24
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $454.13 / $1,640.00 / $39,142.00	Facility		$454.13	$1,640.00	$39,142.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $365.29 / $2,296.76 / $7,283.33	Professional		$365.29	$2,296.76	$7,283.33
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 $815.31 / $2,993.16 / $7,292.20	Professional		$815.31	$2,993.16	$7,292.20
Univera Facility/Professional Facility Modifier Low / Median / High Price $388.37 / $388.37 / $1,016.62	Facility		$388.37	$388.37	$1,016.62
Univera Facility/Professional Professional Modifier Low / Median / High Price $428.84 / $2,963.85 / $4,812.46	Professional		$428.84	$2,963.85	$4,812.46