Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $720.65 / $4,545.00 / $10,296.00	Facility		$720.65	$4,545.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $498.23 / $592.13 / $1,292.50	Professional		$498.23	$592.13	$1,292.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $389.45 / $389.45 / $389.45	Professional		$389.45	$389.45	$389.45
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 $447.44 / $584.90 / $1,367.59	Professional		$447.44	$584.90	$1,367.59
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $810.10 / $1,990.00 / $8,917.50	Facility		$810.10	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $810.10 / $810.10 / $810.10	Professional		$810.10	$810.10	$810.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $656.56 / $656.56 / $656.56	Facility		$656.56	$656.56	$656.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $572.49 / $863.13 / $2,159.96	Professional		$572.49	$863.13	$2,159.96
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $775.00 / $1,547.21	Facility		$332.00	$775.00	$1,547.21
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $632.76 / $898.48 / $1,327.16	Professional		$632.76	$898.48	$1,327.16
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $543.37 / $543.37 / $543.37	Facility		$543.37	$543.37	$543.37
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $470.94 / $692.56 / $1,221.70	Professional		$470.94	$692.56	$1,221.70
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $774.00 / $774.00 / $793.74	Professional		$774.00	$774.00	$793.74
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $656.56	Facility		$555.00	$597.00	$656.56
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $593.30 / $858.12 / $1,987.48	Professional		$593.30	$858.12	$1,987.48
United Facility/Professional Facility Modifier Low / Median / High Price $2,341.00 / $6,700.00 / $16,782.00	Facility		$2,341.00	$6,700.00	$16,782.00
United Facility/Professional Professional Modifier Low / Median / High Price $512.29 / $738.57 / $1,832.46	Professional		$512.29	$738.57	$1,832.46
Univera Facility/Professional Facility Modifier Low / Median / High Price $692.56 / $692.56 / $2,637.31	Facility		$692.56	$692.56	$2,637.31
Univera Facility/Professional Professional Modifier Low / Median / High Price $482.95 / $757.24 / $1,463.97	Professional		$482.95	$757.24	$1,463.97