Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $357.17 / $2,884.50 / $8,020.00	Facility		$357.17	$2,884.50	$8,020.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $243.83 / $492.30 / $1,328.94	Professional		$243.83	$492.30	$1,328.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $114.04 / $167.12 / $666.96	Professional		$114.04	$167.12	$666.96
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 $286.13 / $637.94 / $1,600.81	Professional		$286.13	$637.94	$1,600.81
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $330.51 / $330.51 / $6,213.00	Facility		$330.51	$330.51	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $330.51 / $330.51 / $1,208.07	Professional		$330.51	$330.51	$1,208.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $395.91 / $395.91 / $6,511.02	Facility		$395.91	$395.91	$6,511.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $255.48 / $749.69 / $2,296.91	Professional		$255.48	$749.69	$2,296.91
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $250.00 / $332.00 / $610.00	Facility		$250.00	$332.00	$610.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $825.88 / $1,076.70 / $1,587.52	Professional		$825.88	$1,076.70	$1,587.52
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $639.45 / $639.45 / $731.25	Facility		$639.45	$639.45	$731.25
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $428.84 / $1,038.36 / $1,507.70	Professional		$428.84	$1,038.36	$1,507.70
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $833.00 / $833.00 / $833.00	Professional		$833.00	$833.00	$833.00
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $601.40 / $931.05 / $1,642.52	Facility		$601.40	$931.05	$1,642.52
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $328.71 / $332.33 / $332.33	Professional		$328.71	$332.33	$332.33
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $395.91 / $597.00 / $6,511.02	Facility		$395.91	$597.00	$6,511.02
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $300.57 / $920.30 / $2,084.17	Professional		$300.57	$920.30	$2,084.17
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 $636.50 / $890.65 / $2,016.82	Professional		$636.50	$890.65	$2,016.82
Univera Facility/Professional Facility Modifier Low / Median / High Price $337.64 / $337.64 / $664.09	Facility		$337.64	$337.64	$664.09
Univera Facility/Professional Professional Modifier Low / Median / High Price $428.84 / $1,029.09 / $1,630.37	Professional		$428.84	$1,029.09	$1,630.37