Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $573.52 / $4,308.00 / $10,170.00	Facility		$573.52	$4,308.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $305.64 / $557.88 / $1,235.30	Professional		$305.64	$557.88	$1,235.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $351.73 / $351.73 / $351.73	Professional		$351.73	$351.73	$351.73
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 $496.46 / $642.41 / $1,320.53	Professional		$496.46	$642.41	$1,320.53
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $447.48 / $1,990.00 / $8,917.50	Facility		$447.48	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $447.48 / $447.48 / $869.54	Professional		$447.48	$447.48	$869.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $541.16 / $541.16 / $541.16	Facility		$541.16	$541.16	$541.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $339.40 / $700.22 / $1,918.04	Professional		$339.40	$700.22	$1,918.04
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $295.00 / $367.50 / $858.47	Facility		$295.00	$367.50	$858.47
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $659.20 / $935.24 / $1,377.63	Professional		$659.20	$935.24	$1,377.63
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $566.08 / $566.08 / $566.08	Facility		$566.08	$566.08	$566.08
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $500.41 / $735.90 / $1,298.15	Professional		$500.41	$735.90	$1,298.15
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,980.96 / $2,948.62 / $4,963.18	Facility		$1,980.96	$2,948.62	$4,963.18
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $348.69 / $457.13 / $1,017.25	Professional		$348.69	$457.13	$1,017.25
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $541.16 / $555.00 / $597.00	Facility		$541.16	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $350.59 / $760.16 / $1,924.28	Professional		$350.59	$760.16	$1,924.28
United Facility/Professional Facility Modifier Low / Median / High Price $1,883.00 / $3,670.00 / $7,355.00	Facility		$1,883.00	$3,670.00	$7,355.00
United Facility/Professional Professional Modifier Low / Median / High Price $505.12 / $740.31 / $1,705.53	Professional		$505.12	$740.31	$1,705.53
Univera Facility/Professional Facility Modifier Low / Median / High Price $386.04 / $386.04 / $1,354.75	Facility		$386.04	$386.04	$1,354.75
Univera Facility/Professional Professional Modifier Low / Median / High Price $511.01 / $788.89 / $1,298.15	Professional		$511.01	$788.89	$1,298.15