Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $452.71 / $5,044.00 / $10,170.00	Facility		$452.71	$5,044.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $299.52 / $409.55 / $1,801.96	Professional		$299.52	$409.55	$1,801.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $223.38 / $223.38 / $467.40	Professional		$223.38	$223.38	$467.40
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 $273.64 / $345.51 / $842.58	Professional		$273.64	$345.51	$842.58
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $486.58 / $1,990.00 / $8,917.50	Facility		$486.58	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $486.58 / $486.58 / $486.58	Professional		$486.58	$486.58	$486.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $401.37 / $401.37 / $401.37	Facility		$401.37	$401.37	$401.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $350.45 / $544.59 / $1,388.72	Professional		$350.45	$544.59	$1,388.72
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $382.60 / $941.63	Facility		$300.00	$382.60	$941.63
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $387.12 / $547.86 / $807.71	Professional		$387.12	$547.86	$807.71
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $332.44 / $332.44 / $332.44	Facility		$332.44	$332.44	$332.44
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $317.31 / $629.22 / $938.79	Professional		$317.31	$629.22	$938.79
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,740.63 / $2,461.81 / $6,582.48	Facility		$1,740.63	$2,461.81	$6,582.48
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $335.00 / $472.84 / $612.88	Professional		$335.00	$472.84	$612.88
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $401.37 / $555.00 / $597.00	Facility		$401.37	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $355.72 / $525.83 / $1,295.74	Professional		$355.72	$525.83	$1,295.74
United Facility/Professional Facility Modifier Low / Median / High Price $2,031.00 / $4,840.00 / $9,416.00	Facility		$2,031.00	$4,840.00	$9,416.00
United Facility/Professional Professional Modifier Low / Median / High Price $301.01 / $439.93 / $1,123.72	Professional		$301.01	$439.93	$1,123.72
Univera Facility/Professional Facility Modifier Low / Median / High Price $423.12 / $423.12 / $1,875.09	Facility		$423.12	$423.12	$1,875.09
Univera Facility/Professional Professional Modifier Low / Median / High Price $319.99 / $613.05 / $1,035.10	Professional		$319.99	$613.05	$1,035.10