Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $839.00 / $3,978.00 / $8,907.44	Facility		$839.00	$3,978.00	$8,907.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $600.74 / $727.28 / $1,819.00	Professional		$600.74	$727.28	$1,819.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $723.99 / $723.99 / $723.99	Professional		$723.99	$723.99	$723.99
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 $621.99 / $788.66 / $1,563.76	Professional		$621.99	$788.66	$1,563.76
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $933.49 / $2,644.00 / $12,319.50	Facility		$933.49	$2,644.00	$12,319.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $933.49 / $933.49 / $933.49	Professional		$933.49	$933.49	$933.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $754.01 / $754.01 / $754.01	Facility		$754.01	$754.01	$754.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $672.74 / $1,032.49 / $2,524.02	Professional		$672.74	$1,032.49	$2,524.02
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $685.50 / $1,789.72	Facility		$332.00	$685.50	$1,789.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $725.14 / $1,036.71 / $1,535.18	Professional		$725.14	$1,036.71	$1,535.18
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $622.70 / $622.70 / $622.70	Facility		$622.70	$622.70	$622.70
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $538.64 / $792.12 / $1,397.32	Professional		$538.64	$792.12	$1,397.32
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,996.65 / $4,685.60 / $8,463.01	Facility		$2,996.65	$4,685.60	$8,463.01
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $754.01	Facility		$555.00	$597.00	$754.01
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $669.07 / $1,005.67 / $2,327.61	Professional		$669.07	$1,005.67	$2,327.61
United Facility/Professional Facility Modifier Low / Median / High Price $1,768.00 / $3,961.00 / $8,312.00	Facility		$1,768.00	$3,961.00	$8,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $588.72 / $874.92 / $2,309.63	Professional		$588.72	$874.92	$2,309.63
Univera Facility/Professional Facility Modifier Low / Median / High Price $792.12 / $792.12 / $1,790.02	Facility		$792.12	$792.12	$1,790.02
Univera Facility/Professional Professional Modifier Low / Median / High Price $597.91 / $867.80 / $1,674.41	Professional		$597.91	$867.80	$1,674.41