Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $526.78 / $2,465.00 / $9,868.00	Facility		$526.78	$2,465.00	$9,868.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.19 / $531.50 / $973.53	Professional		$426.19	$531.50	$973.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $562.72 / $562.72 / $562.72	Professional		$562.72	$562.72	$562.72
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 $434.95 / $551.51 / $1,247.20	Professional		$434.95	$551.51	$1,247.20
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $584.17 / $584.17 / $4,050.00	Facility		$584.17	$584.17	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $584.17 / $584.17 / $592.29	Professional		$584.17	$584.17	$592.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.13 / $707.13 / $14,648.00	Facility		$707.13	$707.13	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.77 / $759.78 / $1,743.64	Professional		$426.77	$759.78	$1,743.64
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $500.00 / $1,115.71	Facility		$332.00	$500.00	$1,115.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $462.18 / $656.02 / $969.01	Professional		$462.18	$656.02	$969.01
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $396.89 / $396.89 / $396.89	Facility		$396.89	$396.89	$396.89
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $383.63 / $476.49 / $894.04	Professional		$383.63	$476.49	$894.04
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $593.52 / $593.52 / $593.52	Professional		$593.52	$593.52	$593.52
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $707.13	Facility		$555.00	$597.00	$707.13
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $439.22 / $744.80 / $1,673.35	Professional		$439.22	$744.80	$1,673.35
United Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,826.00 / $4,851.00	Facility		$964.00	$2,826.00	$4,851.00
United Facility/Professional Professional Modifier Low / Median / High Price $392.89 / $557.99 / $1,396.62	Professional		$392.89	$557.99	$1,396.62
Univera Facility/Professional Facility Modifier Low / Median / High Price $500.10 / $500.10 / $2,250.58	Facility		$500.10	$500.10	$2,250.58
Univera Facility/Professional Professional Modifier Low / Median / High Price $430.80 / $553.11 / $1,057.14	Professional		$430.80	$553.11	$1,057.14