Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,249.45 / $4,051.00 / $10,024.00	Facility		$1,249.45	$4,051.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $908.31 / $1,075.49 / $2,063.02	Professional		$908.31	$1,075.49	$2,063.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,400.06 / $1,400.06 / $1,400.06	Professional		$1,400.06	$1,400.06	$1,400.06
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 $850.84 / $1,078.83 / $2,482.87	Professional		$850.84	$1,078.83	$2,482.87
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,448.45 / $1,990.00 / $8,917.50	Facility		$1,448.45	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,448.45 / $1,448.45 / $1,448.45	Professional		$1,448.45	$1,448.45	$1,448.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,167.61 / $1,167.61 / $1,167.61	Facility		$1,167.61	$1,167.61	$1,167.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,015.65 / $1,516.62 / $3,859.25	Professional		$1,015.65	$1,516.62	$3,859.25
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $945.00 / $2,746.62	Facility		$332.00	$945.00	$2,746.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,113.70 / $1,590.93 / $2,355.98	Professional		$1,113.70	$1,590.93	$2,355.98
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $956.37 / $956.37 / $956.37	Facility		$956.37	$956.37	$956.37
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $684.20 / $1,224.61 / $2,160.26	Professional		$684.20	$1,224.61	$2,160.26
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,882.99 / $1,882.99 / $1,882.99	Professional		$1,882.99	$1,882.99	$1,882.99
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,167.61	Facility		$555.00	$597.00	$1,167.61
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,051.08 / $1,531.44 / $3,546.78	Professional		$1,051.08	$1,531.44	$3,546.78
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 $923.36 / $1,301.46 / $3,221.93	Professional		$923.36	$1,301.46	$3,221.93
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,224.61 / $1,224.61 / $3,731.33	Facility		$1,224.61	$1,224.61	$3,731.33
Univera Facility/Professional Professional Modifier Low / Median / High Price $832.74 / $1,332.80 / $2,588.66	Professional		$832.74	$1,332.80	$2,588.66