Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,205.75 / $5,069.00 / $11,161.00	Facility		$1,205.75	$5,069.00	$11,161.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $862.32 / $1,004.46 / $1,928.63	Professional		$862.32	$1,004.46	$1,928.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $610.34 / $610.34 / $610.34	Professional		$610.34	$610.34	$610.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $5,434.00 / $12,168.00	Facility		$3,283.00	$5,434.00	$12,168.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $773.12 / $1,010.62 / $2,337.11	Professional		$773.12	$1,010.62	$2,337.11
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,355.20 / $1,355.20 / $37,499.62	Facility		$1,355.20	$1,355.20	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,355.20 / $1,355.20 / $1,355.20	Professional		$1,355.20	$1,355.20	$1,355.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,089.18 / $1,089.18 / $1,089.18	Facility		$1,089.18	$1,089.18	$1,089.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $953.36 / $1,433.22 / $3,635.48	Professional		$953.36	$1,433.22	$3,635.48
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,036.02 / $2,567.69	Facility		$332.00	$1,036.02	$2,567.69
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,049.93 / $1,490.55 / $2,202.52	Professional		$1,049.93	$1,490.55	$2,202.52
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $901.61 / $901.61 / $901.61	Facility		$901.61	$901.61	$901.61
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $783.23 / $1,151.81 / $2,031.82	Professional		$783.23	$1,151.81	$2,031.82
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,072.04 / $2,072.04 / $2,072.04	Facility		$2,072.04	$2,072.04	$2,072.04
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,089.18	Facility		$555.00	$597.00	$1,089.18
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $991.25 / $1,430.76 / $3,333.35	Professional		$991.25	$1,430.76	$3,333.35
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 $847.16 / $1,217.48 / $2,932.25	Professional		$847.16	$1,217.48	$2,932.25
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,151.81 / $1,151.81 / $4,361.97	Facility		$1,151.81	$1,151.81	$4,361.97
Univera Facility/Professional Professional Modifier Low / Median / High Price $806.16 / $1,256.48 / $2,434.75	Professional		$806.16	$1,256.48	$2,434.75