Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $491.81 / $3,020.00 / $7,839.00	Facility		$491.81	$3,020.00	$7,839.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $294.79 / $552.03 / $1,114.54	Professional		$294.79	$552.03	$1,114.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $622.54 / $669.72 / $669.72	Professional		$622.54	$669.72	$669.72
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 $326.87 / $582.22 / $1,264.79	Professional		$326.87	$582.22	$1,264.79
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $450.31 / $450.31 / $6,213.00	Facility		$450.31	$450.31	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $450.31 / $450.31 / $893.86	Professional		$450.31	$450.31	$893.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $538.88 / $538.88 / $538.88	Facility		$538.88	$538.88	$538.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $303.61 / $621.41 / $1,364.31	Professional		$303.61	$621.41	$1,364.31
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $358.82 / $807.35	Facility		$332.00	$358.82	$807.35
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $747.52 / $881.93 / $1,815.30	Professional		$747.52	$881.93	$1,815.30
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $513.54 / $594.72 / $1,181.94	Professional		$513.54	$594.72	$1,181.94
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $312.23 / $312.23 / $312.23	Professional		$312.23	$312.23	$312.23
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $639.54 / $1,080.26 / $1,786.59	Facility		$639.54	$1,080.26	$1,786.59
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $594.72 / $740.17 / $1,144.77	Professional		$594.72	$740.17	$1,144.77
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $538.88 / $555.00 / $74,999.25	Facility		$538.88	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $357.10 / $743.68 / $1,583.73	Professional		$357.10	$743.68	$1,583.73
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 $414.27 / $702.82 / $1,435.91	Professional		$414.27	$702.82	$1,435.91
Univera Facility/Professional Facility Modifier Low / Median / High Price $340.27 / $340.27 / $993.02	Facility		$340.27	$340.27	$993.02
Univera Facility/Professional Professional Modifier Low / Median / High Price $442.47 / $686.70 / $1,350.38	Professional		$442.47	$686.70	$1,350.38