Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $942.72 / $3,917.00 / $10,965.00	Facility		$942.72	$3,917.00	$10,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $732.63 / $945.38 / $2,112.11	Professional		$732.63	$945.38	$2,112.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $930.51 / $930.51 / $930.51	Professional		$930.51	$930.51	$930.51
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 $765.13 / $940.16 / $2,191.69	Professional		$765.13	$940.16	$2,191.69
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,142.83 / $1,990.00 / $8,917.50	Facility		$1,142.83	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,142.83 / $1,142.83 / $1,396.83	Professional		$1,142.83	$1,142.83	$1,396.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,377.39 / $1,377.39 / $1,377.39	Facility		$1,377.39	$1,377.39	$1,377.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $602.59 / $1,194.38 / $2,764.54	Professional		$602.59	$1,194.38	$2,764.54
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $869.57 / $2,119.61	Facility		$332.00	$869.57	$2,119.61
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,171.01 / $1,357.31 / $2,849.39	Professional		$1,171.01	$1,357.31	$2,849.39
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $825.23 / $935.09 / $1,848.42	Professional		$825.23	$935.09	$1,848.42
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,548.21 / $4,236.50 / $6,975.78	Facility		$2,548.21	$4,236.50	$6,975.78
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $979.11 / $1,205.44 / $1,504.48	Professional		$979.11	$1,205.44	$1,504.48
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,377.39 / $74,999.25	Facility		$555.00	$1,377.39	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $731.27 / $1,264.02 / $3,081.25	Professional		$731.27	$1,264.02	$3,081.25
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 $662.71 / $1,177.76 / $2,522.71	Professional		$662.71	$1,177.76	$2,522.71
Univera Facility/Professional Facility Modifier Low / Median / High Price $879.10 / $879.10 / $3,098.55	Facility		$879.10	$879.10	$3,098.55
Univera Facility/Professional Professional Modifier Low / Median / High Price $879.10 / $988.45 / $2,589.48	Professional		$879.10	$988.45	$2,589.48