Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $196.42 / $1,437.25 / $10,774.35	Facility		$196.42	$1,437.25	$10,774.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.33 / $213.22 / $299.42	Professional		$169.33	$213.22	$299.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $258.41 / $258.41 / $258.41	Professional		$258.41	$258.41	$258.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $339.02 / $398.85 / $615.44	Professional		$339.02	$398.85	$615.44
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $439.55 / $439.55 / $439.55	Facility		$439.55	$439.55	$439.55
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $439.55 / $439.55 / $439.55	Professional		$439.55	$439.55	$439.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $311.35 / $311.35 / $311.35	Facility		$311.35	$311.35	$311.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $221.86 / $359.86 / $1,128.60	Professional		$221.86	$359.86	$1,128.60
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $227.97 / $282.00 / $612.90	Facility		$227.97	$282.00	$612.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $245.32 / $312.77 / $471.25	Professional		$245.32	$312.77	$471.25
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.19 / $25.19 / $25.19	Facility		$25.19	$25.19	$25.19
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.76 / $283.20 / $504.74	Professional		$82.76	$283.20	$504.74
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $87.77 / $87.77 / $87.77	Professional		$87.77	$87.77	$87.77
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,558.40 / $1,558.40 / $1,558.40	Facility		$1,558.40	$1,558.40	$1,558.40
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $792.21 / $792.21 / $792.21	Professional		$792.21	$792.21	$792.21
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $311.35 / $311.35 / $597.00	Facility		$311.35	$311.35	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $230.38 / $364.16 / $941.99	Professional		$230.38	$364.16	$941.99
United Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $451.48 / $1,136.61	Professional		$200.00	$451.48	$1,136.61
Univera Facility/Professional Facility Modifier Low / Median / High Price $256.91 / $256.91 / $706.99	Facility		$256.91	$256.91	$706.99
Univera Facility/Professional Professional Modifier Low / Median / High Price $179.64 / $305.39 / $561.61	Professional		$179.64	$305.39	$561.61