Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $4,786.30 / $10,471.29	Facility		$562.34	$4,786.30	$10,471.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $616.60 / $1,737.80	Professional		$371.54	$616.60	$1,737.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Professional		$389.05	$389.05	$389.05
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 $323.59 / $407.38 / $1,047.13	Professional		$323.59	$407.38	$1,047.13
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $2,398.83 / $10,964.78	Facility		$575.44	$2,398.83	$10,964.78
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Professional		$575.44	$575.44	$575.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $691.83 / $50,118.72	Facility		$34.67	$691.83	$50,118.72
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $69.18 / $69.18 / $69.18	Facility	AS	$69.18	$69.18	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $616.60 / $1,862.09	Professional		$407.38	$616.60	$1,862.09
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $467.74 / $1,122.02	Facility		$269.15	$467.74	$1,122.02
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $616.60 / $912.01	Professional		$457.09	$616.60	$912.01
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Facility		$380.19	$380.19	$380.19
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $537.03 / $851.14	Professional		$363.08	$537.03	$851.14
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $2,951.21 / $6,456.54	Facility		$933.25	$2,951.21	$6,456.54
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $977.24	Professional		$741.31	$741.31	$977.24
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $50,118.72 / $75,857.76	Facility		$436.52	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $602.56 / $1,174.90	Professional		$467.74	$602.56	$1,174.90
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 $354.81 / $501.19 / $1,258.93	Professional		$354.81	$501.19	$1,258.93
Univera Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $489.78 / $1,096.48	Facility		$331.13	$489.78	$1,096.48
Univera Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $501.19 / $1,096.48	Professional		$331.13	$501.19	$1,096.48