Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.78 / $2,626.00 / $7,563.00	Facility		$251.78	$2,626.00	$7,563.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.97 / $284.17 / $620.77	Professional		$172.97	$284.17	$620.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $92.06 / $267.56 / $509.96	Professional		$92.06	$267.56	$509.96
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 $222.40 / $306.79 / $659.34	Professional		$222.40	$306.79	$659.34
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $275.06 / $275.06 / $4,050.00	Facility		$275.06	$275.06	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $275.06 / $275.06 / $412.57	Professional		$275.06	$275.06	$412.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $325.50 / $325.50 / $3,479.91	Facility		$325.50	$325.50	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $197.40 / $369.45 / $890.68	Professional		$197.40	$369.45	$890.68
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $109.00 / $250.00 / $509.85	Facility		$109.00	$250.00	$509.85
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $299.31 / $387.73 / $577.15	Professional		$299.31	$387.73	$577.15
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $265.97 / $265.97 / $482.13	Facility		$265.97	$265.97	$482.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $189.54 / $338.67 / $525.62	Professional		$189.54	$338.67	$525.62
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $185.81 / $320.99 / $359.02	Professional		$185.81	$320.99	$359.02
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.42 / $283.95 / $4,151.78	Facility		$0.42	$283.95	$4,151.78
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $313.85 / $384.99 / $675.99	Professional		$313.85	$384.99	$675.99
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $325.50 / $508.37 / $3,479.91	Facility		$325.50	$508.37	$3,479.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $205.72 / $379.67 / $841.69	Professional		$205.72	$379.67	$841.69
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 $213.17 / $316.16 / $704.87	Professional		$213.17	$316.16	$704.87
Univera Facility/Professional Facility Modifier Low / Median / High Price $230.87 / $230.87 / $620.40	Facility		$230.87	$230.87	$620.40
Univera Facility/Professional Professional Modifier Low / Median / High Price $189.54 / $379.84 / $597.42	Professional		$189.54	$379.84	$597.42