Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.57 / $2,159.00 / $7,207.90	Facility		$136.57	$2,159.00	$7,207.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.98 / $184.77 / $452.60	Professional		$87.98	$184.77	$452.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.70 / $95.11 / $368.42	Professional		$72.70	$95.11	$368.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,651.00 / $3,263.00 / $4,636.00	Facility		$1,651.00	$3,263.00	$4,636.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $161.08 / $257.67 / $488.20	Professional		$161.08	$257.67	$488.20
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $141.10 / $1,254.00 / $4,050.00	Facility		$141.10	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $141.10 / $141.10 / $336.38	Professional		$141.10	$141.10	$336.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $171.40 / $171.40 / $3,479.91	Facility		$171.40	$171.40	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.96 / $246.37 / $684.85	Professional		$108.96	$246.37	$684.85
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $109.76 / $174.80 / $346.00	Facility		$109.76	$174.80	$346.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $246.03 / $318.32 / $472.93	Professional		$246.03	$318.32	$472.93
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $216.47 / $216.47 / $482.13	Facility		$216.47	$216.47	$482.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.93 / $281.61 / $437.07	Professional		$142.93	$281.61	$437.07
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,037.33 / $1,253.43 / $3,270.78	Facility		$1,037.33	$1,253.43	$3,270.78
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.55 / $310.45 / $432.32	Professional		$133.55	$310.45	$432.32
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $171.40 / $555.00 / $3,479.91	Facility		$171.40	$555.00	$3,479.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $121.70 / $290.32 / $646.21	Professional		$121.70	$290.32	$646.21
United Facility/Professional Facility Modifier Low / Median / High Price $951.00 / $3,235.00 / $5,828.00	Facility		$951.00	$3,235.00	$5,828.00
United Facility/Professional Professional Modifier Low / Median / High Price $177.97 / $255.79 / $561.24	Professional		$177.97	$255.79	$561.24
Univera Facility/Professional Facility Modifier Low / Median / High Price $121.69 / $121.69 / $482.13	Facility		$121.69	$121.69	$482.13
Univera Facility/Professional Professional Modifier Low / Median / High Price $142.93 / $290.72 / $472.63	Professional		$142.93	$290.72	$472.63