Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $4,786.30 / $10,471.29	Facility		$588.84	$4,786.30	$10,471.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $707.95 / $1,819.70	Professional		$416.87	$707.95	$1,819.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $436.52	Professional		$416.87	$416.87	$436.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $5,888.44 / $12,302.69	Facility		$3,388.44	$5,888.44	$12,302.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $524.81 / $1,148.15	Professional		$426.58	$524.81	$1,148.15
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $2,398.83 / $10,964.78	Facility		$630.96	$2,398.83	$10,964.78
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $630.96	Professional		$630.96	$630.96	$630.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $758.58 / $50,118.72	Facility		$34.67	$758.58	$50,118.72
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $75.86 / $75.86 / $75.86	Facility	AS	$75.86	$75.86	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $676.08 / $1,949.84	Professional		$446.68	$676.08	$1,949.84
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $512.86 / $1,230.27	Facility		$295.12	$512.86	$1,230.27
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $676.08 / $1,000.00	Professional		$501.19	$676.08	$1,000.00
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Facility		$416.87	$416.87	$416.87
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $588.84 / $954.99	Professional		$398.11	$588.84	$954.99
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $3,715.35 / $4,786.30	Facility		$1,778.28	$3,715.35	$4,786.30
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $50,118.72 / $75,857.76	Facility		$489.78	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $588.84 / $1,230.27	Professional		$398.11	$588.84	$1,230.27
United Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $4,365.16 / $9,549.93	Facility		$2,041.74	$4,365.16	$9,549.93
United Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $549.54 / $1,380.38	Professional		$389.05	$549.54	$1,380.38
Univera Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $537.03 / $1,202.26	Facility		$363.08	$537.03	$1,202.26
Univera Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $549.54 / $1,202.26	Professional		$363.08	$549.54	$1,202.26