Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $432.61 / $3,100.00 / $9,868.00	Facility		$432.61	$3,100.00	$9,868.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.76 / $347.37 / $722.68	Professional		$229.76	$347.37	$722.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $208.44 / $208.44 / $208.44	Professional		$208.44	$208.44	$208.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,316.00 / $4,916.00 / $11,195.00	Facility		$3,316.00	$4,916.00	$11,195.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.48 / $345.87 / $705.00	Professional		$281.48	$345.87	$705.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $311.54 / $1,254.00 / $4,050.00	Facility		$311.54	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $311.54 / $311.54 / $311.54	Professional		$311.54	$311.54	$311.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.53 / $251.53 / $3,479.91	Facility		$251.53	$251.53	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.24 / $482.12 / $965.96	Professional		$216.24	$482.12	$965.96
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $250.00 / $419.00 / $690.12	Facility		$250.00	$419.00	$690.12
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $233.54 / $302.70 / $448.92	Professional		$233.54	$302.70	$448.92
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $202.43 / $259.74 / $482.13	Facility		$202.43	$259.74	$482.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $188.43 / $298.37 / $458.18	Professional		$188.43	$298.37	$458.18
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,214.82 / $2,815.24 / $4,224.47	Facility		$2,214.82	$2,815.24	$4,224.47
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $251.53 / $251.53 / $3,479.91	Facility		$251.53	$251.53	$3,479.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $241.91 / $445.12 / $943.77	Professional		$241.91	$445.12	$943.77
United Facility/Professional Facility Modifier Low / Median / High Price $2,160.00 / $4,893.00 / $10,944.00	Facility		$2,160.00	$4,893.00	$10,944.00
United Facility/Professional Professional Modifier Low / Median / High Price $186.51 / $291.45 / $692.28	Professional		$186.51	$291.45	$692.28
Univera Facility/Professional Facility Modifier Low / Median / High Price $259.74 / $259.74 / $1,544.47	Facility		$259.74	$259.74	$1,544.47
Univera Facility/Professional Professional Modifier Low / Median / High Price $220.78 / $310.31 / $552.17	Professional		$220.78	$310.31	$552.17