Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $578.84 / $4,495.38 / $10,194.49	Facility		$578.84	$4,495.38	$10,194.49
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $3,968.61 / $3,968.61 / $3,968.61	Facility	22	$3,968.61	$3,968.61	$3,968.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.08 / $629.27 / $2,066.31	Professional		$389.08	$629.27	$2,066.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $381.42 / $445.63 / $544.34	Professional		$381.42	$445.63	$544.34
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 $500.08 / $635.13 / $1,478.16	Professional		$500.08	$635.13	$1,478.16
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $592.23 / $1,990.00 / $8,917.50	Facility		$592.23	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $592.23 / $592.23 / $872.02	Professional		$592.23	$592.23	$872.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $713.96 / $713.96 / $713.96	Facility		$713.96	$713.96	$713.96
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $71.40 / $71.40 / $71.40	Facility	AS	$71.40	$71.40	$71.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.41 / $753.26 / $1,950.74	Professional		$436.41	$753.26	$1,950.74
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $308.00 / $474.62 / $1,112.63	Facility		$308.00	$474.62	$1,112.63
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $647.17 / $953.59 / $1,827.00	Professional		$647.17	$953.59	$1,827.00
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $555.76 / $555.76 / $555.76	Facility		$555.76	$555.76	$555.76
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $505.48 / $718.19 / $1,266.91	Professional		$505.48	$718.19	$1,266.91
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,976.57 / $3,763.46 / $6,606.01	Facility		$1,976.57	$3,763.46	$6,606.01
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $447.04 / $577.78 / $1,095.83	Professional		$447.04	$577.78	$1,095.83
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $713.96	Facility		$555.00	$597.00	$713.96
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $71.40 / $71.40 / $71.40	Facility	AS	$71.40	$71.40	$71.40
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $438.00 / $804.12 / $1,940.51	Professional		$438.00	$804.12	$1,940.51
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 $522.28 / $775.69 / $1,804.44	Professional		$522.28	$775.69	$1,804.44
Univera Facility/Professional Facility Modifier Low / Median / High Price $504.96 / $504.96 / $1,330.66	Facility		$504.96	$504.96	$1,330.66
Univera Facility/Professional Professional Modifier Low / Median / High Price $505.48 / $774.51 / $1,266.91	Professional		$505.48	$774.51	$1,266.91