Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $981.34 / $6,012.00 / $13,508.00	Facility		$981.34	$6,012.00	$13,508.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $8,528.12 / $10,222.08 / $33,189.64	Facility	50	$8,528.12	$10,222.08	$33,189.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.74 / $734.00 / $2,110.17	Professional		$512.74	$734.00	$2,110.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $320.04 / $711.83 / $711.83	Professional		$320.04	$711.83	$711.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $6,758.00 / $20,583.00	Facility		$3,283.00	$6,758.00	$20,583.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $614.60 / $763.23 / $1,831.81	Professional		$614.60	$763.23	$1,831.81
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $928.78 / $1,990.00 / $8,917.50	Facility		$928.78	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $928.78 / $928.78 / $928.78	Professional		$928.78	$928.78	$928.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $751.63 / $751.63 / $5,246.94	Facility		$751.63	$751.63	$5,246.94
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $74.30 / $74.30 / $74.30	Facility	AS	$74.30	$74.30	$74.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $536.91 / $1,174.76 / $2,455.56	Professional		$536.91	$1,174.76	$2,455.56
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $709.44 / $1,777.93	Facility		$332.00	$709.44	$1,777.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $780.38 / $889.34 / $1,940.48	Professional		$780.38	$889.34	$1,940.48
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $455.58 / $704.52 / $1,306.40	Professional		$455.58	$704.52	$1,306.40
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,532.80 / $5,113.55 / $8,214.20	Facility		$2,532.80	$5,113.55	$8,214.20
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $5,228.49 / $5,228.49 / $8,854.79	Facility	50	$5,228.49	$5,228.49	$8,854.79
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $767.81 / $772.04 / $867.58	Professional		$767.81	$772.04	$867.58
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $751.63 / $23,610.00	Facility		$597.00	$751.63	$23,610.00
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $74.30 / $74.30 / $74.30	Facility	AS	$74.30	$74.30	$74.30
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $545.71 / $1,146.66 / $2,331.94	Professional		$545.71	$1,146.66	$2,331.94
United Facility/Professional Facility Modifier Low / Median / High Price $2,031.00 / $4,908.00 / $18,320.00	Facility		$2,031.00	$4,908.00	$18,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $444.78 / $824.60 / $1,970.89	Professional		$444.78	$824.60	$1,970.89
Univera Facility/Professional Facility Modifier Low / Median / High Price $704.52 / $704.52 / $1,188.17	Facility		$704.52	$704.52	$1,188.17
Univera Facility/Professional Professional Modifier Low / Median / High Price $455.58 / $816.76 / $1,385.40	Professional		$455.58	$816.76	$1,385.40