Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,377.36 / $6,393.00 / $18,132.00	Facility		$1,377.36	$6,393.00	$18,132.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $945.31 / $1,111.98 / $2,924.48	Professional		$945.31	$1,111.98	$2,924.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $724.03 / $724.03 / $724.03	Professional		$724.03	$724.03	$724.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,749.00 / $9,877.00 / $16,490.00	Facility		$4,749.00	$9,877.00	$16,490.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $873.89 / $1,142.34 / $2,622.85	Professional		$873.89	$1,142.34	$2,622.85
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,507.77 / $3,478.50 / $13,477.50	Facility		$1,507.77	$3,478.50	$13,477.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,507.77 / $1,507.77 / $1,507.77	Professional		$1,507.77	$1,507.77	$1,507.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,211.33 / $1,211.33 / $1,211.33	Facility		$1,211.33	$1,211.33	$1,211.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,063.08 / $1,624.85 / $4,034.80	Professional		$1,063.08	$1,624.85	$4,034.80
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,728.00 / $3,001.55	Facility		$332.00	$1,728.00	$3,001.55
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,165.08 / $1,652.91 / $2,442.78	Professional		$1,165.08	$1,652.91	$2,442.78
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.50 / $1,000.50 / $1,000.50	Facility		$1,000.50	$1,000.50	$1,000.50
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $868.42 / $1,277.08 / $2,252.81	Professional		$868.42	$1,277.08	$2,252.81
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $20,686.37 / $20,686.37 / $20,686.37	Facility		$20,686.37	$20,686.37	$20,686.37
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,438.89 / $1,438.89 / $1,475.60	Professional		$1,438.89	$1,438.89	$1,475.60
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $23,612.00	Facility		$555.00	$597.00	$23,612.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,099.99 / $1,647.40 / $3,748.17	Professional		$1,099.99	$1,647.40	$3,748.17
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,963.00 / $14,457.00	Facility		$2,264.00	$5,963.00	$14,457.00
United Facility/Professional Professional Modifier Low / Median / High Price $951.89 / $1,383.66 / $3,373.93	Professional		$951.89	$1,383.66	$3,373.93
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,277.08 / $1,277.08 / $5,017.06	Facility		$1,277.08	$1,277.08	$5,017.06
Univera Facility/Professional Professional Modifier Low / Median / High Price $918.99 / $1,394.30 / $2,699.55	Professional		$918.99	$1,394.30	$2,699.55