Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.75 / $2,394.00 / $7,095.00	Facility		$137.75	$2,394.00	$7,095.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.41 / $163.38 / $475.32	Professional		$99.41	$163.38	$475.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $126.58 / $126.58 / $126.58	Professional		$126.58	$126.58	$126.58
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 $107.91 / $149.35 / $319.77	Professional		$107.91	$149.35	$319.77
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $134.10 / $134.10 / $4,050.00	Facility		$134.10	$134.10	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $134.10 / $134.10 / $215.26	Professional		$134.10	$134.10	$215.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.83 / $158.83 / $3,479.91	Facility		$158.83	$158.83	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.23 / $194.97 / $486.37	Professional		$101.23	$194.97	$486.37
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $98.53 / $158.88 / $346.00	Facility		$98.53	$158.88	$346.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $153.86 / $200.89 / $299.61	Professional		$153.86	$200.89	$299.61
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.07 / $138.07 / $138.07	Facility		$138.07	$138.07	$138.07
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.78 / $179.10 / $277.97	Professional		$87.78	$179.10	$277.97
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $555.88 / $595.20 / $1,284.69	Facility		$555.88	$595.20	$1,284.69
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $192.42 / $192.42 / $192.42	Professional		$192.42	$192.42	$192.42
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $158.83 / $597.00 / $8,498.00	Facility		$158.83	$597.00	$8,498.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $90.85 / $194.43 / $447.87	Professional		$90.85	$194.43	$447.87
United Facility/Professional Facility Modifier Low / Median / High Price $671.00 / $2,597.00 / $4,840.00	Facility		$671.00	$2,597.00	$4,840.00
United Facility/Professional Professional Modifier Low / Median / High Price $121.52 / $165.67 / $375.14	Professional		$121.52	$165.67	$375.14
Univera Facility/Professional Facility Modifier Low / Median / High Price $111.97 / $111.97 / $177.93	Facility		$111.97	$111.97	$177.93
Univera Facility/Professional Professional Modifier Low / Median / High Price $87.78 / $199.43 / $295.88	Professional		$87.78	$199.43	$295.88