Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.88 / $2,587.27 / $7,521.00	Facility		$162.88	$2,587.27	$7,521.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.09 / $241.81 / $816.80	Professional		$103.09	$241.81	$816.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $105.56 / $105.56 / $327.78	Professional		$105.56	$105.56	$327.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $3,373.00 / $4,707.00	Facility		$1,689.00	$3,373.00	$4,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $179.30 / $248.14 / $624.28	Professional		$179.30	$248.14	$624.28
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $152.38 / $1,254.00 / $4,050.00	Facility		$152.38	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $152.38 / $152.38 / $382.51	Professional		$152.38	$152.38	$382.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $182.22 / $182.22 / $182.22	Facility		$182.22	$182.22	$182.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.47 / $295.97 / $762.77	Professional		$119.47	$295.97	$762.77
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $98.23 / $165.81 / $398.81	Facility		$98.23	$165.81	$398.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $279.67 / $425.08 / $1,637.50	Professional		$279.67	$425.08	$1,637.50
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $240.16 / $240.16 / $240.16	Facility		$240.16	$240.16	$240.16
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $217.51 / $304.93 / $553.86	Professional		$217.51	$304.93	$553.86
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $355.43 / $1,210.50 / $3,275.18	Facility		$355.43	$1,210.50	$3,275.18
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $153.06 / $153.06 / $153.06	Professional		$153.06	$153.06	$153.06
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $182.22 / $555.00 / $597.00	Facility		$182.22	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $130.60 / $318.80 / $765.00	Professional		$130.60	$318.80	$765.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.00 / $3,496.00 / $6,201.00	Facility		$1,348.00	$3,496.00	$6,201.00
United Facility/Professional Professional Modifier Low / Median / High Price $229.30 / $350.13 / $816.82	Professional		$229.30	$350.13	$816.82
Univera Facility/Professional Facility Modifier Low / Median / High Price $125.07 / $125.07 / $240.16	Facility		$125.07	$125.07	$240.16
Univera Facility/Professional Professional Modifier Low / Median / High Price $235.63 / $304.93 / $553.86	Professional		$235.63	$304.93	$553.86