Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $535.32 / $3,020.00 / $8,010.66	Facility		$535.32	$3,020.00	$8,010.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $328.91 / $617.40 / $1,170.27	Professional		$328.91	$617.40	$1,170.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $615.36 / $630.59 / $1,229.98	Professional		$615.36	$630.59	$1,229.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,691.00 / $3,382.00 / $4,707.00	Facility		$1,691.00	$3,382.00	$4,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $364.24 / $623.26 / $1,433.31	Professional		$364.24	$623.26	$1,433.31
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $502.60 / $502.60 / $6,213.00	Facility		$502.60	$502.60	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $502.60 / $502.60 / $952.36	Professional		$502.60	$502.60	$952.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $600.04 / $600.04 / $600.04	Facility		$600.04	$600.04	$600.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $337.92 / $670.51 / $1,450.75	Professional		$337.92	$670.51	$1,450.75
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $397.34 / $897.95	Facility		$332.00	$397.34	$897.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $72.00 / $281.66 / $1,184.05	Professional		$72.00	$281.66	$1,184.05
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $554.13 / $633.17 / $1,258.20	Professional		$554.13	$633.17	$1,258.20
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $910.46 / $910.46 / $910.46	Professional		$910.46	$910.46	$910.46
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $693.45 / $1,498.83 / $1,970.72	Facility		$693.45	$1,498.83	$1,970.72
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $688.14 / $786.85 / $823.14	Professional		$688.14	$786.85	$823.14
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $600.04 / $74,999.25	Facility		$555.00	$600.04	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $397.91 / $807.33 / $1,681.91	Professional		$397.91	$807.33	$1,681.91
United Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,826.00 / $4,851.00	Facility		$964.00	$2,826.00	$4,851.00
United Facility/Professional Professional Modifier Low / Median / High Price $441.95 / $732.69 / $1,582.62	Professional		$441.95	$732.69	$1,582.62
Univera Facility/Professional Facility Modifier Low / Median / High Price $379.26 / $379.26 / $1,107.94	Facility		$379.26	$379.26	$1,107.94
Univera Facility/Professional Professional Modifier Low / Median / High Price $471.01 / $731.01 / $1,437.49	Professional		$471.01	$731.01	$1,437.49