Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $260.79 / $394.58 / $1,809.17	Facility		$260.79	$394.58	$1,809.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $260.79 / $313.69 / $612.00	Professional		$260.79	$313.69	$612.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $269.29 / $269.29 / $300.00	Professional		$269.29	$269.29	$300.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,244.00 / $1,322.00 / $1,555.00	Facility		$1,244.00	$1,322.00	$1,555.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $292.31 / $314.95 / $787.40	Professional		$292.31	$314.95	$787.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $330.90 / $340.82 / $537.09	Facility		$330.90	$340.82	$537.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,117.34 / $2,012.78 / $2,012.78	Professional		$1,117.34	$2,012.78	$2,012.78
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $294.00 / $610.00 / $1,187.26	Facility		$294.00	$610.00	$1,187.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $448.52 / $527.66 / $527.66	Professional		$448.52	$527.66	$527.66
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.00 / $210.00 / $210.00	Professional		$135.00	$210.00	$210.00
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $474.90 / $506.56 / $527.66	Professional		$474.90	$506.56	$527.66
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $229.26 / $271.02 / $852.99	Facility		$229.26	$271.02	$852.99
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.26 / $506.00 / $606.82	Professional		$229.26	$506.00	$606.82
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $330.90 / $340.82 / $597.00	Facility		$330.90	$340.82	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,117.34 / $2,012.78 / $2,012.78	Professional		$1,117.34	$2,012.78	$2,012.78
United Facility/Professional Professional Modifier Low / Median / High Price $359.05 / $359.05 / $523.29	Professional		$359.05	$359.05	$523.29
Univera Facility/Professional Facility Modifier Low / Median / High Price $235.00 / $702.69 / $702.69	Facility		$235.00	$702.69	$702.69
Univera Facility/Professional Professional Modifier Low / Median / High Price $210.00 / $210.00 / $702.69	Professional		$210.00	$210.00	$702.69