Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $324.61 / $324.61 / $401.42	Facility		$324.61	$324.61	$401.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $324.61 / $393.14 / $516.30	Professional		$324.61	$393.14	$516.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $225.00 / $364.69 / $401.16	Professional		$225.00	$364.69	$401.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $462.00 / $469.00 / $1,094.00	Facility		$462.00	$469.00	$1,094.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $297.63 / $369.60 / $537.37	Professional		$297.63	$369.60	$537.37
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $621.45 / $621.45 / $621.45	Facility		$621.45	$621.45	$621.45
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $621.45 / $621.45 / $621.45	Professional		$621.45	$621.45	$621.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $330.00 / $468.71	Facility		$150.00	$330.00	$468.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $347.83 / $553.54 / $1,234.08	Professional		$347.83	$553.54	$1,234.08
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $140.00 / $332.00 / $787.79	Facility		$140.00	$332.00	$787.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $477.45 / $620.69 / $1,036.07	Professional		$477.45	$620.69	$1,036.07
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $390.18 / $390.18 / $444.44	Facility		$390.18	$390.18	$444.44
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $322.20 / $522.84 / $953.38	Professional		$322.20	$522.84	$953.38
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $300.00 / $313.00	Professional		$250.00	$300.00	$313.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $330.00 / $468.71	Facility		$150.00	$330.00	$468.71
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $499.94 / $1,176.98	Professional		$200.00	$499.94	$1,176.98
United Facility/Professional Professional Modifier Low / Median / High Price $322.56 / $436.39 / $924.45	Professional		$322.56	$436.39	$924.45
Univera Facility/Professional Facility Modifier Low / Median / High Price $390.18 / $444.44 / $1,028.71	Facility		$390.18	$444.44	$1,028.71
Univera Facility/Professional Professional Modifier Low / Median / High Price $357.54 / $563.80 / $1,060.81	Professional		$357.54	$563.80	$1,060.81