Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $666.99 / $3,515.00 / $9,661.00	Facility		$666.99	$3,515.00	$9,661.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $455.74 / $668.70 / $1,253.32	Professional		$455.74	$668.70	$1,253.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $345.92 / $464.57 / $691.83	Professional		$345.92	$464.57	$691.83
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 $569.83 / $723.71 / $1,512.00	Professional		$569.83	$723.71	$1,512.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $715.59 / $1,990.00 / $8,917.50	Facility		$715.59	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $715.59 / $715.59 / $967.68	Professional		$715.59	$715.59	$967.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $868.02 / $868.02 / $868.02	Facility		$868.02	$868.02	$868.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $539.85 / $900.61 / $2,193.27	Professional		$539.85	$900.61	$2,193.27
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $332.00 / $1,371.56	Facility		$150.00	$332.00	$1,371.56
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $730.56 / $1,039.39 / $1,534.58	Professional		$730.56	$1,039.39	$1,534.58
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $627.36 / $627.36 / $627.36	Facility		$627.36	$627.36	$627.36
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $549.19 / $807.63 / $1,424.67	Professional		$549.19	$807.63	$1,424.67
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,663.58 / $3,663.58 / $11,463.27	Facility		$3,663.58	$3,663.58	$11,463.27
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $685.57 / $685.57 / $703.06	Professional		$685.57	$685.57	$703.06
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $868.02	Facility		$555.00	$597.00	$868.02
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $539.85 / $930.80 / $2,155.80	Professional		$539.85	$930.80	$2,155.80
United Facility/Professional Facility Modifier Low / Median / High Price $2,031.00 / $4,840.00 / $9,416.00	Facility		$2,031.00	$4,840.00	$9,416.00
United Facility/Professional Professional Modifier Low / Median / High Price $610.54 / $901.73 / $2,119.41	Professional		$610.54	$901.73	$2,119.41
Univera Facility/Professional Facility Modifier Low / Median / High Price $612.95 / $612.95 / $1,449.14	Facility		$612.95	$612.95	$1,449.14
Univera Facility/Professional Professional Modifier Low / Median / High Price $568.82 / $874.29 / $1,424.67	Professional		$568.82	$874.29	$1,424.67