Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $375.01 / $2,884.50 / $8,585.12	Facility		$375.01	$2,884.50	$8,585.12
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $231.05 / $308.61 / $445.83	Facility	54	$231.05	$308.61	$445.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.56 / $356.36 / $814.11	Professional		$281.56	$356.36	$814.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $419.82 / $419.82 / $419.82	Professional		$419.82	$419.82	$419.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $3,373.00 / $4,707.00	Facility		$1,689.00	$3,373.00	$4,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $283.92 / $360.00 / $785.29	Professional		$283.92	$360.00	$785.29
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $431.99 / $431.99 / $6,213.00	Facility		$431.99	$431.99	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $431.99 / $431.99 / $485.47	Professional		$431.99	$431.99	$485.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $529.57 / $529.57 / $14,648.00	Facility		$529.57	$529.57	$14,648.00
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $370.70 / $370.70 / $370.70	Facility	54	$370.70	$370.70	$370.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $317.75 / $485.78 / $1,184.14	Professional		$317.75	$485.78	$1,184.14
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $255.00 / $341.29 / $841.52	Facility		$255.00	$341.29	$841.52
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $387.63 / $549.40 / $810.23	Professional		$387.63	$549.40	$810.23
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $332.87 / $332.87 / $332.87	Facility		$332.87	$332.87	$332.87
Excellus BCBS Facility/Professional Facility Modifier 54 Low / Median / High Price $262.97 / $262.97 / $262.97	Facility	54	$262.97	$262.97	$262.97
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.52 / $360.45 / $748.06	Professional		$281.52	$360.45	$748.06
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $399.75 / $399.75 / $3,382.92	Facility		$399.75	$399.75	$3,382.92
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $282.94 / $401.36 / $613.10	Professional		$282.94	$401.36	$613.10
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $529.57 / $555.00 / $597.00	Facility		$529.57	$555.00	$597.00
MVP Health Care Facility/Professional Facility Modifier 54 Low / Median / High Price $370.70 / $370.70 / $370.70	Facility	54	$370.70	$370.70	$370.70
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $320.13 / $488.90 / $1,181.69	Professional		$320.13	$488.90	$1,181.69
United Facility/Professional Facility Modifier Low / Median / High Price $646.00 / $2,705.00 / $4,840.00	Facility		$646.00	$2,705.00	$4,840.00
United Facility/Professional Professional Modifier Low / Median / High Price $302.05 / $441.00 / $1,089.06	Professional		$302.05	$441.00	$1,089.06
Univera Facility/Professional Facility Modifier Low / Median / High Price $377.47 / $377.47 / $1,192.68	Facility		$377.47	$377.47	$1,192.68
Univera Facility/Professional Facility Modifier 54 Low / Median / High Price $262.97 / $298.20 / $298.20	Facility	54	$262.97	$298.20	$298.20
Univera Facility/Professional Professional Modifier Low / Median / High Price $281.52 / $463.89 / $802.47	Professional		$281.52	$463.89	$802.47