Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.03 / $1,862.39 / $5,093.49	Facility		$158.03	$1,862.39	$5,093.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.60 / $196.93 / $340.09	Professional		$126.60	$196.93	$340.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $166.76 / $166.76 / $166.76	Professional		$166.76	$166.76	$166.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $458.55 / $571.30 / $804.09	Professional		$458.55	$571.30	$804.09
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $411.78 / $411.78 / $411.78	Facility		$411.78	$411.78	$411.78
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $411.78 / $411.78 / $411.78	Professional		$411.78	$411.78	$411.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $285.68 / $285.68 / $285.68	Facility		$285.68	$285.68	$285.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $197.28 / $324.52 / $976.69	Professional		$197.28	$324.52	$976.69
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $191.45 / $251.83 / $478.76	Facility		$191.45	$251.83	$478.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $191.50 / $244.10 / $368.11	Professional		$191.50	$244.10	$368.11
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.54 / $19.54 / $19.54	Facility		$19.54	$19.54	$19.54
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.80 / $220.80 / $406.18	Professional		$62.80	$220.80	$406.18
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $57.09 / $181.56 / $217.04	Professional		$57.09	$181.56	$217.04
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $638.41 / $1,100.15 / $2,106.37	Facility		$638.41	$1,100.15	$2,106.37
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $537.15 / $537.15 / $792.21	Professional		$537.15	$537.15	$792.21
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $285.68 / $285.68 / $597.00	Facility		$285.68	$285.68	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $204.95 / $364.16 / $879.07	Professional		$204.95	$364.16	$879.07
United Facility/Professional Professional Modifier Low / Median / High Price $149.26 / $447.73 / $1,136.61	Professional		$149.26	$447.73	$1,136.61
Univera Facility/Professional Facility Modifier Low / Median / High Price $200.31 / $200.31 / $706.99	Facility		$200.31	$200.31	$706.99
Univera Facility/Professional Professional Modifier Low / Median / High Price $119.05 / $238.11 / $437.89	Professional		$119.05	$238.11	$437.89