Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,290.00 / $5,411.00 / $12,099.86	Facility		$1,290.00	$5,411.00	$12,099.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $923.30 / $1,088.98 / $2,325.27	Professional		$923.30	$1,088.98	$2,325.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,047.09 / $2,047.09 / $2,047.09	Professional		$2,047.09	$2,047.09	$2,047.09
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 $851.68 / $1,100.23 / $2,389.62	Professional		$851.68	$1,100.23	$2,389.62
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,473.36 / $2,644.00 / $12,319.50	Facility		$1,473.36	$2,644.00	$12,319.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,473.36 / $1,473.36 / $1,473.36	Professional		$1,473.36	$1,473.36	$1,473.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,187.74 / $1,187.74 / $1,187.74	Facility		$1,187.74	$1,187.74	$1,187.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $989.40 / $1,559.18 / $3,942.36	Professional		$989.40	$1,559.18	$3,942.36
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,129.86 / $2,800.37	Facility		$332.00	$1,129.86	$2,800.37
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,144.88 / $1,625.58 / $2,402.10	Professional		$1,144.88	$1,625.58	$2,402.10
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $983.15 / $983.15 / $983.15	Facility		$983.15	$983.15	$983.15
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $798.68 / $1,253.24 / $2,210.75	Professional		$798.68	$1,253.24	$2,210.75
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,162.93 / $4,162.93 / $4,162.93	Facility		$4,162.93	$4,162.93	$4,162.93
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,187.74	Facility		$555.00	$597.00	$1,187.74
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $996.02 / $1,532.99 / $3,642.22	Professional		$996.02	$1,532.99	$3,642.22
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 $924.80 / $1,287.19 / $3,205.69	Professional		$924.80	$1,287.19	$3,205.69
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,253.24 / $1,253.24 / $2,850.39	Facility		$1,253.24	$1,253.24	$2,850.39
Univera Facility/Professional Professional Modifier Low / Median / High Price $798.68 / $1,370.12 / $2,649.15	Professional		$798.68	$1,370.12	$2,649.15