Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $566.38 / $4,592.18 / $10,517.90	Facility		$566.38	$4,592.18	$10,517.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $283.62 / $566.38 / $1,779.56	Professional		$283.62	$566.38	$1,779.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $94.26 / $269.31 / $326.39	Professional		$94.26	$269.31	$326.39
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 $477.43 / $611.04 / $1,377.08	Professional		$477.43	$611.04	$1,377.08
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $412.67 / $1,716.00 / $6,213.00	Facility		$412.67	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $412.67 / $412.67 / $836.17	Professional		$412.67	$412.67	$836.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $499.04 / $499.04 / $499.04	Facility		$499.04	$499.04	$499.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $314.42 / $689.75 / $1,768.00	Professional		$314.42	$689.75	$1,768.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $313.00 / $371.00 / $795.24	Facility		$313.00	$371.00	$795.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $630.55 / $895.77 / $1,319.66	Professional		$630.55	$895.77	$1,319.66
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $541.49 / $541.49 / $541.49	Facility		$541.49	$541.49	$541.49
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $479.09 / $598.86 / $1,242.83	Professional		$479.09	$598.86	$1,242.83
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,009.95 / $2,064.35 / $3,652.68	Facility		$1,009.95	$2,064.35	$3,652.68
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $333.64 / $423.63 / $977.62	Professional		$333.64	$423.63	$977.62
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $499.04 / $555.00 / $597.00	Facility		$499.04	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $330.00 / $727.97 / $1,768.00	Professional		$330.00	$727.97	$1,768.00
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 $500.36 / $725.55 / $2,017.12	Professional		$500.36	$725.55	$2,017.12
Univera Facility/Professional Facility Modifier Low / Median / High Price $355.87 / $355.87 / $1,230.70	Facility		$355.87	$355.87	$1,230.70
Univera Facility/Professional Professional Modifier Low / Median / High Price $531.01 / $732.72 / $1,242.83	Professional		$531.01	$732.72	$1,242.83