Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.21 / $2,865.00 / $8,134.00	Facility		$446.21	$2,865.00	$8,134.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $356.89 / $424.85 / $851.05	Professional		$356.89	$424.85	$851.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $260.70 / $260.70 / $260.70	Professional		$260.70	$260.70	$260.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,385.00 / $4,133.00 / $9,074.00	Facility		$2,385.00	$4,133.00	$9,074.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $313.56 / $409.89 / $948.41	Professional		$313.56	$409.89	$948.41
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $537.65 / $1,254.00 / $4,050.00	Facility		$537.65	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $537.65 / $537.65 / $581.09	Professional		$537.65	$537.65	$581.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $656.57 / $656.57 / $656.57	Facility		$656.57	$656.57	$656.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $393.67 / $580.42 / $1,463.88	Professional		$393.67	$580.42	$1,463.88
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $255.00 / $421.20 / $1,046.60	Facility		$255.00	$421.20	$1,046.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $463.66 / $658.61 / $971.91	Professional		$463.66	$658.61	$971.91
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $398.16 / $398.16 / $398.16	Facility		$398.16	$398.16	$398.16
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.76 / $506.86 / $894.12	Professional		$316.76	$506.86	$894.12
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,113.23 / $2,113.23 / $2,113.23	Facility		$2,113.23	$2,113.23	$2,113.23
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $656.57	Facility		$555.00	$597.00	$656.57
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $404.85 / $588.66 / $1,416.66	Professional		$404.85	$588.66	$1,416.66
United Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,826.00 / $4,851.00	Facility		$964.00	$2,826.00	$4,851.00
United Facility/Professional Professional Modifier Low / Median / High Price $357.68 / $502.50 / $1,271.29	Professional		$357.68	$502.50	$1,271.29
Univera Facility/Professional Facility Modifier Low / Median / High Price $467.77 / $467.77 / $1,567.60	Facility		$467.77	$467.77	$1,567.60
Univera Facility/Professional Professional Modifier Low / Median / High Price $344.67 / $527.14 / $994.44	Professional		$344.67	$527.14	$994.44