Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $3,311.31 / $8,912.51	Facility		$457.09	$3,311.31	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $512.86 / $1,479.11	Professional		$309.03	$512.86	$1,479.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Professional		$309.03	$309.03	$309.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,786.30 / $10,232.93	Facility		$2,630.27	$4,786.30	$10,232.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $524.81 / $1,202.26	Professional		$436.52	$524.81	$1,202.26
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $1,698.24 / $6,165.95	Facility		$446.68	$1,698.24	$6,165.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $741.31	Professional		$446.68	$446.68	$741.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $537.03 / $50,118.72	Facility		$537.03	$537.03	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $660.69 / $1,737.80	Professional		$354.81	$660.69	$1,737.80
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $363.08 / $870.96	Facility		$208.93	$363.08	$870.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $891.25 / $1,258.93	Professional		$645.65	$891.25	$1,258.93
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Facility		$478.63	$478.63	$478.63
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $645.65 / $1,096.48	Professional		$398.11	$645.65	$1,096.48
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $3,090.30 / $4,786.30	Facility		$1,905.46	$3,090.30	$4,786.30
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $446.68 / $933.25	Professional		$436.52	$446.68	$933.25
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $50,118.72 / $75,857.76	Facility		$363.08	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $676.08 / $1,412.54	Professional		$398.11	$676.08	$1,412.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,890.45 / $8,317.64	Facility		$1,819.70	$3,890.45	$8,317.64
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $524.81 / $1,318.26	Professional		$302.00	$524.81	$1,318.26
Univera Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $380.19 / $1,778.28	Facility		$257.04	$380.19	$1,778.28
Univera Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $616.60 / $1,230.27	Professional		$407.38	$616.60	$1,230.27