Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $965.73 / $4,442.00 / $10,152.00	Facility		$965.73	$4,442.00	$10,152.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $682.71 / $829.76 / $2,644.25	Professional		$682.71	$829.76	$2,644.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $717.42 / $717.42 / $1,535.61	Professional		$717.42	$717.42	$1,535.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,749.00 / $9,877.00 / $27,835.00	Facility		$4,749.00	$9,877.00	$27,835.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $686.28 / $870.19 / $1,847.06	Professional		$686.28	$870.19	$1,847.06
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,105.78 / $1,716.00 / $6,213.00	Facility		$1,105.78	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,105.78 / $1,105.78 / $1,105.78	Professional		$1,105.78	$1,105.78	$1,105.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $898.71 / $898.71 / $898.71	Facility		$898.71	$898.71	$898.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $782.67 / $1,133.84 / $2,925.08	Professional		$782.67	$1,133.84	$2,925.08
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $892.54 / $2,117.00	Facility		$332.00	$892.54	$2,117.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $866.13 / $1,229.63 / $1,815.92	Professional		$866.13	$1,229.63	$1,815.92
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $743.78 / $743.78 / $743.78	Facility		$743.78	$743.78	$743.78
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $634.92 / $952.16 / $1,679.64	Professional		$634.92	$952.16	$1,679.64
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,640.18 / $9,155.94 / $11,648.35	Facility		$8,640.18	$9,155.94	$11,648.35
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,380.96 / $1,380.96 / $1,997.31	Professional		$1,380.96	$1,380.96	$1,997.31
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 $794.33 / $1,145.46 / $2,696.00	Professional		$794.33	$1,145.46	$2,696.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,031.00 / $4,840.00 / $10,931.00	Facility		$2,031.00	$4,840.00	$10,931.00
United Facility/Professional Professional Modifier Low / Median / High Price $678.23 / $979.67 / $2,238.52	Professional		$678.23	$979.67	$2,238.52
Univera Facility/Professional Facility Modifier Low / Median / High Price $952.16 / $952.16 / $3,454.65	Facility		$952.16	$952.16	$3,454.65
Univera Facility/Professional Professional Modifier Low / Median / High Price $634.92 / $1,036.54 / $2,012.72	Professional		$634.92	$1,036.54	$2,012.72