Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.53 / $2,056.00 / $7,307.00	Facility		$162.53	$2,056.00	$7,307.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.51 / $174.42 / $602.49	Professional		$118.51	$174.42	$602.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $152.84 / $152.84 / $152.84	Professional		$152.84	$152.84	$152.84
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 $148.22 / $186.35 / $342.47	Professional		$148.22	$186.35	$342.47
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $171.01 / $171.01 / $4,050.00	Facility		$171.01	$171.01	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $171.01 / $171.01 / $213.98	Professional		$171.01	$171.01	$213.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.55 / $208.55 / $14,648.00	Facility		$208.55	$208.55	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.94 / $226.29 / $601.74	Professional		$137.94	$226.29	$601.74
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $132.46 / $195.55 / $338.45	Facility		$132.46	$195.55	$338.45
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $162.84 / $234.93 / $356.97	Professional		$162.84	$234.93	$356.97
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $139.84 / $139.84 / $139.84	Facility		$139.84	$139.84	$139.84
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.39 / $176.23 / $320.10	Professional		$123.39	$176.23	$320.10
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $170.21 / $170.21 / $170.21	Professional		$170.21	$170.21	$170.21
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $455.71 / $3,461.00	Facility		$50.00	$455.71	$3,461.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $208.55 / $555.00 / $36,596.00	Facility		$208.55	$555.00	$36,596.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $124.42 / $222.64 / $581.90	Professional		$124.42	$222.64	$581.90
United Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,826.00 / $4,851.00	Facility		$964.00	$2,826.00	$4,851.00
United Facility/Professional Professional Modifier Low / Median / High Price $138.60 / $211.13 / $479.70	Professional		$138.60	$211.13	$479.70
Univera Facility/Professional Facility Modifier Low / Median / High Price $140.18 / $140.18 / $371.82	Facility		$140.18	$140.18	$371.82
Univera Facility/Professional Professional Modifier Low / Median / High Price $133.38 / $191.74 / $320.10	Professional		$133.38	$191.74	$320.10