Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $664.70 / $3,434.16 / $8,907.44	Facility		$664.70	$3,434.16	$8,907.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.16 / $710.28 / $1,695.91	Professional		$549.16	$710.28	$1,695.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $704.39 / $704.39 / $704.39	Professional		$704.39	$704.39	$704.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,393.00 / $4,142.00 / $9,074.00	Facility		$2,393.00	$4,142.00	$9,074.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $516.32 / $659.16 / $1,698.00	Professional		$516.32	$659.16	$1,698.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $870.69 / $1,716.00 / $6,213.00	Facility		$870.69	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $870.69 / $870.69 / $1,065.97	Professional		$870.69	$870.69	$1,065.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,051.84 / $1,051.84 / $1,051.84	Facility		$1,051.84	$1,051.84	$1,051.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $460.84 / $908.03 / $2,106.79	Professional		$460.84	$908.03	$2,106.79
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $665.31 / $1,623.58	Facility		$332.00	$665.31	$1,623.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $893.98 / $1,036.21 / $2,450.60	Professional		$893.98	$1,036.21	$2,450.60
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $596.27 / $713.04 / $1,409.96	Professional		$596.27	$713.04	$1,409.96
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,928.79 / $2,951.49 / $5,114.96	Facility		$1,928.79	$2,951.49	$5,114.96
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $753.32 / $836.95 / $899.71	Professional		$753.32	$836.95	$899.71
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,051.84 / $74,999.25	Facility		$555.00	$1,051.84	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $559.90 / $954.11 / $2,470.15	Professional		$559.90	$954.11	$2,470.15
United Facility/Professional Facility Modifier Low / Median / High Price $1,764.00 / $3,961.00 / $8,312.00	Facility		$1,764.00	$3,961.00	$8,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $505.28 / $894.56 / $1,922.25	Professional		$505.28	$894.56	$1,922.25
Univera Facility/Professional Facility Modifier Low / Median / High Price $670.76 / $670.76 / $2,145.08	Facility		$670.76	$670.76	$2,145.08
Univera Facility/Professional Professional Modifier Low / Median / High Price $596.27 / $753.98 / $1,870.41	Professional		$596.27	$753.98	$1,870.41