Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $152.28 / $2,902.00 / $10,170.00	Facility		$152.28	$2,902.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.45 / $154.32 / $358.85	Professional		$98.45	$154.32	$358.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $210.72 / $210.72 / $210.72	Professional		$210.72	$210.72	$210.72
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 $137.51 / $167.99 / $344.15	Professional		$137.51	$167.99	$344.15
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $149.97 / $149.97 / $4,050.00	Facility		$149.97	$149.97	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $149.97 / $149.97 / $209.66	Professional		$149.97	$149.97	$209.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.52 / $181.52 / $14,648.00	Facility		$181.52	$181.52	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.31 / $207.14 / $535.61	Professional		$118.31	$207.14	$535.61
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $114.41 / $175.50 / $332.00	Facility		$114.41	$175.50	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $164.49 / $236.82 / $350.26	Professional		$164.49	$236.82	$350.26
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $142.11 / $142.11 / $142.11	Facility		$142.11	$142.11	$142.11
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.54 / $177.07 / $321.62	Professional		$120.54	$177.07	$321.62
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,154.47 / $1,938.80 / $2,916.88	Facility		$1,154.47	$1,938.80	$2,916.88
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $181.52 / $555.00 / $36,596.00	Facility		$181.52	$555.00	$36,596.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $116.85 / $209.18 / $535.61	Professional		$116.85	$209.18	$535.61
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 $128.96 / $200.61 / $467.11	Professional		$128.96	$200.61	$467.11
Univera Facility/Professional Facility Modifier Low / Median / High Price $123.38 / $123.38 / $288.79	Facility		$123.38	$123.38	$288.79
Univera Facility/Professional Professional Modifier Low / Median / High Price $133.44 / $189.61 / $321.62	Professional		$133.44	$189.61	$321.62