Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,661.80 / $4,663.00 / $10,152.00	Facility		$1,661.80	$4,663.00	$10,152.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,235.03 / $1,430.14 / $3,477.16	Professional		$1,235.03	$1,430.14	$3,477.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,244.80 / $1,244.80 / $1,244.80	Professional		$1,244.80	$1,244.80	$1,244.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,977.00 / $9,808.00 / $58,963.00	Facility		$4,977.00	$9,808.00	$58,963.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $905.56 / $1,183.74 / $3,172.65	Professional		$905.56	$1,183.74	$3,172.65
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,936.54 / $1,936.54 / $8,917.50	Facility		$1,936.54	$1,936.54	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,936.54 / $1,936.54 / $1,936.54	Professional		$1,936.54	$1,936.54	$1,936.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,554.52 / $1,554.52 / $41,647.00	Facility		$1,554.52	$1,554.52	$41,647.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,367.32 / $2,073.19 / $5,272.43	Professional		$1,367.32	$2,073.19	$5,272.43
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,476.36 / $3,661.40	Facility		$332.00	$1,476.36	$3,661.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,497.41 / $2,125.08 / $3,140.67	Professional		$1,497.41	$2,125.08	$3,140.67
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,285.88 / $1,285.88 / $1,285.88	Facility		$1,285.88	$1,285.88	$1,285.88
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,115.15 / $1,393.94 / $2,892.87	Professional		$1,115.15	$1,393.94	$2,892.87
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,454.19 / $13,125.61 / $27,305.76	Facility		$7,454.19	$13,125.61	$27,305.76
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,914.83 / $1,914.83 / $1,914.83	Professional		$1,914.83	$1,914.83	$1,914.83
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $41,647.00	Facility		$555.00	$597.00	$41,647.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,411.91 / $2,063.60 / $4,813.81	Professional		$1,411.91	$2,063.60	$4,813.81
United Facility/Professional Facility Modifier Low / Median / High Price $2,341.00 / $6,700.00 / $16,782.00	Facility		$2,341.00	$6,700.00	$16,782.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,236.30 / $1,718.00 / $4,080.73	Professional		$1,236.30	$1,718.00	$4,080.73
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,639.93 / $1,639.93 / $4,811.13	Facility		$1,639.93	$1,639.93	$4,811.13
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,186.01 / $1,792.00 / $3,466.54	Professional		$1,186.01	$1,792.00	$3,466.54