Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $276.27 / $3,764.20 / $10,490.24	Facility		$276.27	$3,764.20	$10,490.24
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,002.02 / $10,454.04 / $20,555.63	Facility	50	$1,002.02	$10,454.04	$20,555.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.41 / $419.51 / $1,248.35	Professional		$140.41	$419.51	$1,248.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $144.96 / $144.96 / $144.96	Professional		$144.96	$144.96	$144.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,393.00 / $4,120.00 / $8,836.00	Facility		$2,393.00	$4,120.00	$8,836.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $436.47 / $555.16 / $1,551.98	Professional		$436.47	$555.16	$1,551.98
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $220.49 / $1,716.00 / $8,917.50	Facility		$220.49	$1,716.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $220.49 / $220.49 / $810.14	Professional		$220.49	$220.49	$810.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $259.79 / $259.79 / $5,246.94	Facility		$259.79	$259.79	$5,246.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.41 / $547.05 / $1,972.74	Professional		$182.41	$547.05	$1,972.74
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $170.47 / $250.00 / $392.71	Facility		$170.47	$250.00	$392.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $497.08 / $673.82 / $1,364.21	Professional		$497.08	$673.82	$1,364.21
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $412.68 / $578.55 / $907.89	Professional		$412.68	$578.55	$907.89
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $160.74 / $491.55 / $497.08	Professional		$160.74	$491.55	$497.08
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,744.00 / $3,637.78 / $5,216.29	Facility		$1,744.00	$3,637.78	$5,216.29
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $726.67 / $726.67 / $726.67	Professional		$726.67	$726.67	$726.67
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $259.79 / $555.00 / $5,246.94	Facility		$259.79	$555.00	$5,246.94
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $217.28 / $706.27 / $1,972.74	Professional		$217.28	$706.27	$1,972.74
United Facility/Professional Facility Modifier Low / Median / High Price $1,768.00 / $4,176.00 / $8,312.00	Facility		$1,768.00	$4,176.00	$8,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $368.96 / $700.75 / $1,669.81	Professional		$368.96	$700.75	$1,669.81
Univera Facility/Professional Facility Modifier Low / Median / High Price $163.69 / $163.69 / $290.49	Facility		$163.69	$163.69	$290.49
Univera Facility/Professional Professional Modifier Low / Median / High Price $339.87 / $616.27 / $986.85	Professional		$339.87	$616.27	$986.85