Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $536.73 / $2,626.00 / $7,343.00	Facility		$536.73	$2,626.00	$7,343.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $403.45 / $482.90 / $942.47	Professional		$403.45	$482.90	$942.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $719.99 / $719.99 / $719.99	Professional		$719.99	$719.99	$719.99
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 $370.13 / $483.84 / $1,118.39	Professional		$370.13	$483.84	$1,118.39
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $636.99 / $1,254.00 / $4,050.00	Facility		$636.99	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $636.99 / $636.99 / $686.17	Professional		$636.99	$636.99	$686.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $773.83 / $773.83 / $773.83	Facility		$773.83	$773.83	$773.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.80 / $693.41 / $1,735.76	Professional		$467.80	$693.41	$1,735.76
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $610.00 / $1,231.07	Facility		$332.00	$610.00	$1,231.07
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $542.00 / $769.03 / $1,134.65	Professional		$542.00	$769.03	$1,134.65
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $465.44 / $465.44 / $465.44	Facility		$465.44	$465.44	$465.44
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.82 / $504.33 / $1,046.64	Professional		$389.82	$504.33	$1,046.64
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $620.86 / $673.32 / $673.32	Professional		$620.86	$673.32	$673.32
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $773.83	Facility		$555.00	$597.00	$773.83
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $480.98 / $707.21 / $1,706.86	Professional		$480.98	$707.21	$1,706.86
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 $425.53 / $605.76 / $1,494.42	Professional		$425.53	$605.76	$1,494.42
Univera Facility/Professional Facility Modifier Low / Median / High Price $551.47 / $551.47 / $1,902.22	Facility		$551.47	$551.47	$1,902.22
Univera Facility/Professional Professional Modifier Low / Median / High Price $403.46 / $648.64 / $1,167.67	Professional		$403.46	$648.64	$1,167.67