Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $530.39 / $4,051.00 / $10,024.00	Facility		$530.39	$4,051.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $343.84 / $530.40 / $968.72	Professional		$343.84	$530.40	$968.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $307.94 / $307.94 / $324.20	Professional		$307.94	$307.94	$324.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,248.00 / $5,196.00 / $11,909.00	Facility		$3,248.00	$5,196.00	$11,909.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.62 / $386.44 / $1,231.96	Professional		$295.62	$386.44	$1,231.96
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $489.67 / $1,990.00 / $8,917.50	Facility		$489.67	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $489.67 / $489.67 / $489.67	Professional		$489.67	$489.67	$489.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $390.06 / $390.06 / $390.06	Facility		$390.06	$390.06	$390.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $358.00 / $703.70 / $1,581.02	Professional		$358.00	$703.70	$1,581.02
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $295.00 / $382.13 / $890.60	Facility		$295.00	$382.13	$890.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $724.35	Professional		$10.00	$10.00	$724.35
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $318.44 / $318.44 / $318.44	Facility		$318.44	$318.44	$318.44
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $318.44 / $770.82 / $916.85	Professional		$318.44	$770.82	$916.85
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,494.85 / $3,494.85 / $3,494.85	Facility		$3,494.85	$3,494.85	$3,494.85
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $494.03 / $494.03 / $499.46	Professional		$494.03	$494.03	$499.46
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $390.06 / $555.00 / $597.00	Facility		$390.06	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $361.28 / $627.88 / $1,606.93	Professional		$361.28	$627.88	$1,606.93
United Facility/Professional Facility Modifier Low / Median / High Price $2,031.00 / $4,840.00 / $9,416.00	Facility		$2,031.00	$4,840.00	$9,416.00
United Facility/Professional Professional Modifier Low / Median / High Price $320.94 / $469.33 / $1,150.05	Professional		$320.94	$469.33	$1,150.05
Univera Facility/Professional Facility Modifier Low / Median / High Price $408.00 / $408.00 / $2,306.75	Facility		$408.00	$408.00	$2,306.75
Univera Facility/Professional Professional Modifier Low / Median / High Price $408.00 / $591.16 / $1,009.73	Professional		$408.00	$591.16	$1,009.73