Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $406.04 / $4,258.00 / $10,692.00	Facility		$406.04	$4,258.00	$10,692.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $327.10 / $602.69 / $861.95	Professional		$327.10	$602.69	$861.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $269.42 / $269.42 / $269.42	Professional		$269.42	$269.42	$269.42
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 $252.98 / $330.70 / $1,149.83	Professional		$252.98	$330.70	$1,149.83
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $383.71 / $383.71 / $12,319.50	Facility		$383.71	$383.71	$12,319.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $383.71 / $383.71 / $416.65	Professional		$383.71	$383.71	$416.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $230.82 / $230.82 / $451.32	Facility		$230.82	$230.82	$451.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $235.25 / $480.18 / $1,057.91	Professional		$235.25	$480.18	$1,057.91
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $286.77 / $533.00 / $894.40	Facility		$286.77	$533.00	$894.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $300.00 / $556.75 / $655.00	Professional		$300.00	$556.75	$655.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $256.33 / $375.15 / $626.97	Professional		$256.33	$375.15	$626.97
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.86 / $302.86 / $360.72	Professional		$302.86	$302.86	$360.72
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $230.82 / $555.00 / $74,999.25	Facility		$230.82	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $260.33 / $457.25 / $1,178.13	Professional		$260.33	$457.25	$1,178.13
United Facility/Professional Facility Modifier Low / Median / High Price $1,282.00 / $3,496.00 / $5,828.00	Facility		$1,282.00	$3,496.00	$5,828.00
United Facility/Professional Professional Modifier Low / Median / High Price $258.74 / $367.29 / $888.98	Professional		$258.74	$367.29	$888.98
Univera Facility/Professional Facility Modifier Low / Median / High Price $372.27 / $372.27 / $1,796.14	Facility		$372.27	$372.27	$1,796.14
Univera Facility/Professional Professional Modifier Low / Median / High Price $240.66 / $402.35 / $737.89	Professional		$240.66	$402.35	$737.89