Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.50 / $2,311.00 / $7,095.00	Facility		$102.50	$2,311.00	$7,095.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.84 / $194.62 / $470.08	Professional		$69.84	$194.62	$470.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $230.88 / $230.88 / $230.88	Professional		$230.88	$230.88	$230.88
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 $154.83 / $284.01 / $554.16	Professional		$154.83	$284.01	$554.16
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $106.09 / $106.09 / $4,050.00	Facility		$106.09	$106.09	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $106.09 / $106.09 / $409.27	Professional		$106.09	$106.09	$409.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.25 / $128.25 / $7,227.90	Facility		$128.25	$128.25	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.23 / $262.22 / $714.35	Professional		$77.23	$262.22	$714.35
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $40.00 / $116.31 / $332.00	Facility		$40.00	$116.31	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $284.35 / $368.15 / $546.58	Professional		$284.35	$368.15	$546.58
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $250.68 / $250.68 / $482.13	Facility		$250.68	$250.68	$482.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $175.23 / $288.27 / $515.79	Professional		$175.23	$288.27	$515.79
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,985.34 / $1,985.34 / $4,738.76	Facility		$1,985.34	$1,985.34	$4,738.76
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $128.25 / $580.77 / $7,227.90	Facility		$128.25	$580.77	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $82.75 / $315.94 / $709.08	Professional		$82.75	$315.94	$709.08
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 $204.18 / $291.45 / $713.92	Professional		$204.18	$291.45	$713.92
Univera Facility/Professional Facility Modifier Low / Median / High Price $89.89 / $89.89 / $325.13	Facility		$89.89	$89.89	$325.13
Univera Facility/Professional Professional Modifier Low / Median / High Price $175.23 / $307.77 / $527.73	Professional		$175.23	$307.77	$527.73