Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $246.32 / $2,660.00 / $8,134.00	Facility		$246.32	$2,660.00	$8,134.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.88 / $464.55 / $928.71	Professional		$167.88	$464.55	$928.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $470.11 / $470.11 / $470.11	Professional		$470.11	$470.11	$470.11
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 $358.75 / $458.63 / $1,213.47	Professional		$358.75	$458.63	$1,213.47
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $254.05 / $1,254.00 / $4,050.00	Facility		$254.05	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $254.05 / $254.05 / $799.78	Professional		$254.05	$254.05	$799.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $310.67 / $310.67 / $3,479.91	Facility		$310.67	$310.67	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.18 / $547.30 / $1,578.62	Professional		$195.18	$547.30	$1,578.62
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $198.00 / $283.27 / $478.49	Facility		$198.00	$283.27	$478.49
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $576.72 / $747.11 / $1,108.58	Professional		$576.72	$747.11	$1,108.58
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $482.13 / $482.13 / $510.26	Facility		$482.13	$482.13	$510.26
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.96 / $626.48 / $1,026.68	Professional		$416.96	$626.48	$1,026.68
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $480.60 / $480.60 / $626.38	Professional		$480.60	$480.60	$626.38
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,455.49 / $3,455.49 / $3,544.79	Facility		$3,455.49	$3,455.49	$3,544.79
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $255.44 / $255.44 / $718.31	Professional		$255.44	$255.44	$718.31
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $310.67 / $555.00 / $3,723.97	Facility		$310.67	$555.00	$3,723.97
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $228.94 / $671.20 / $1,442.80	Professional		$228.94	$671.20	$1,442.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,693.00 / $4,370.00 / $9,187.00	Facility		$1,693.00	$4,370.00	$9,187.00
United Facility/Professional Professional Modifier Low / Median / High Price $434.41 / $640.79 / $1,538.49	Professional		$434.41	$640.79	$1,538.49
Univera Facility/Professional Facility Modifier Low / Median / High Price $217.68 / $217.68 / $681.36	Facility		$217.68	$217.68	$681.36
Univera Facility/Professional Professional Modifier Low / Median / High Price $416.96 / $626.48 / $1,110.21	Professional		$416.96	$626.48	$1,110.21