Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.63 / $2,303.00 / $7,185.00	Facility		$80.63	$2,303.00	$7,185.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.49 / $132.62 / $406.33	Professional		$52.49	$132.62	$406.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.40 / $260.86 / $260.86	Professional		$38.40	$260.86	$260.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,691.00 / $3,366.00 / $4,707.00	Facility		$1,691.00	$3,366.00	$4,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.22 / $173.30 / $407.91	Professional		$125.22	$173.30	$407.91
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $80.39 / $80.39 / $4,050.00	Facility		$80.39	$80.39	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $80.39 / $80.39 / $330.10	Professional		$80.39	$80.39	$330.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $98.11 / $98.11 / $14,648.00	Facility		$98.11	$98.11	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.32 / $186.20 / $521.21	Professional		$61.32	$186.20	$521.21
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $61.69 / $105.00 / $332.00	Facility		$61.69	$105.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $243.49 / $354.73 / $668.23	Professional		$243.49	$354.73	$668.23
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.41 / $279.06 / $484.20	Professional		$131.41	$279.06	$484.20
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $236.48 / $257.01 / $289.04	Professional		$236.48	$257.01	$289.04
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $122.31 / $962.78 / $1,693.39	Facility		$122.31	$962.78	$1,693.39
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.42 / $334.33 / $362.27	Professional		$64.42	$334.33	$362.27
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $98.11 / $98.11 / $597.00	Facility		$98.11	$98.11	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $68.52 / $222.89 / $539.72	Professional		$68.52	$222.89	$539.72
United Facility/Professional Facility Modifier Low / Median / High Price $1,079.00 / $2,884.00 / $4,840.00	Facility		$1,079.00	$2,884.00	$4,840.00
United Facility/Professional Professional Modifier Low / Median / High Price $180.95 / $268.33 / $564.50	Professional		$180.95	$268.33	$564.50
Univera Facility/Professional Facility Modifier Low / Median / High Price $65.78 / $65.78 / $207.46	Facility		$65.78	$65.78	$207.46
Univera Facility/Professional Professional Modifier Low / Median / High Price $131.41 / $274.19 / $484.20	Professional		$131.41	$274.19	$484.20