Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $3,890.45 / $10,000.00	Facility		$741.31	$3,890.45	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $660.69 / $1,819.70	Professional		$467.74	$660.69	$1,819.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $524.81	Professional		$478.63	$478.63	$524.81
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 $457.09 / $575.44 / $1,380.38	Professional		$457.09	$575.44	$1,380.38
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,698.24 / $6,165.95	Facility		$741.31	$1,698.24	$6,165.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Professional		$741.31	$741.31	$741.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $50,118.72	Facility		$891.25	$891.25	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $776.25 / $2,187.76	Professional		$501.19	$776.25	$2,187.76
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $588.84 / $1,318.26	Facility		$316.23	$588.84	$1,318.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $776.25 / $1,148.15	Professional		$562.34	$776.25	$1,148.15
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Facility		$501.19	$501.19	$501.19
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $1,000.00 / $1,380.38	Professional		$436.52	$1,000.00	$1,380.38
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $3,019.95 / $3,311.31	Facility		$2,630.27	$3,019.95	$3,311.31
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $50,118.72 / $75,857.76	Facility		$416.87	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $707.95 / $1,445.44	Professional		$398.11	$707.95	$1,445.44
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 $416.87 / $630.96 / $1,621.81	Professional		$416.87	$630.96	$1,621.81
Univera Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $630.96 / $1,819.70	Facility		$436.52	$630.96	$1,819.70
Univera Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $851.14 / $1,513.56	Professional		$436.52	$851.14	$1,513.56