Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $469.37 / $4,740.83 / $14,808.82	Facility		$469.37	$4,740.83	$14,808.82
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,944.66 / $9,969.75 / $11,128.22	Facility	50	$2,944.66	$9,969.75	$11,128.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $355.10 / $526.16 / $1,482.34	Professional		$355.10	$526.16	$1,482.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $405.42 / $405.42 / $608.13	Professional		$405.42	$405.42	$608.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $5,160.00 / $11,809.00	Facility		$3,283.00	$5,160.00	$11,809.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $386.52 / $498.10 / $1,321.41	Professional		$386.52	$498.10	$1,321.41
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $586.27 / $1,990.00 / $8,917.50	Facility		$586.27	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $586.27 / $586.27 / $730.46	Professional		$586.27	$586.27	$730.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $712.50 / $712.50 / $5,246.94	Facility		$712.50	$712.50	$5,246.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $352.61 / $736.74 / $1,876.73	Professional		$352.61	$736.74	$1,876.73
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $525.00 / $1,131.80	Facility		$319.00	$525.00	$1,131.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $616.80 / $701.67 / $1,509.27	Professional		$616.80	$701.67	$1,509.27
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $360.51 / $722.09 / $1,282.94	Professional		$360.51	$722.09	$1,282.94
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,974.54 / $5,931.41 / $11,333.29	Facility		$2,974.54	$5,931.41	$11,333.29
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $4,004.90 / $4,004.90 / $7,450.10	Facility	50	$4,004.90	$4,004.90	$7,450.10
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $486.24 / $486.24 / $739.74	Professional		$486.24	$486.24	$739.74
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $712.50 / $23,610.00	Facility		$597.00	$712.50	$23,610.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $374.22 / $776.78 / $1,831.04	Professional		$374.22	$776.78	$1,831.04
United Facility/Professional Facility Modifier Low / Median / High Price $2,031.00 / $4,908.00 / $10,452.00	Facility		$2,031.00	$4,908.00	$10,452.00
United Facility/Professional Professional Modifier Low / Median / High Price $352.59 / $630.66 / $1,479.42	Professional		$352.59	$630.66	$1,479.42
Univera Facility/Professional Facility Modifier Low / Median / High Price $447.81 / $447.81 / $1,275.39	Facility		$447.81	$447.81	$1,275.39
Univera Facility/Professional Professional Modifier Low / Median / High Price $360.51 / $645.23 / $1,356.09	Professional		$360.51	$645.23	$1,356.09