Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $628.65 / $3,579.00 / $10,577.10	Facility		$628.65	$3,579.00	$10,577.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $433.23 / $639.76 / $1,243.74	Professional		$433.23	$639.76	$1,243.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $420.83 / $420.83 / $438.65	Professional		$420.83	$420.83	$438.65
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 $547.66 / $680.10 / $1,498.58	Professional		$547.66	$680.10	$1,498.58
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $657.16 / $1,990.00 / $8,917.50	Facility		$657.16	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $657.16 / $657.16 / $945.06	Professional		$657.16	$657.16	$945.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $795.21 / $795.21 / $795.21	Facility		$795.21	$795.21	$795.21
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $79.52 / $79.52 / $79.52	Facility	AS	$79.52	$79.52	$79.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $483.91 / $831.17 / $2,124.59	Professional		$483.91	$831.17	$2,124.59
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $501.86 / $1,225.73	Facility		$332.00	$501.86	$1,225.73
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $711.57 / $995.14 / $1,462.69	Professional		$711.57	$995.14	$1,462.69
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $611.04 / $611.04 / $611.04	Facility		$611.04	$611.04	$611.04
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $523.67 / $788.83 / $1,391.52	Professional		$523.67	$788.83	$1,391.52
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,740.63 / $2,943.50 / $6,646.78	Facility		$1,740.63	$2,943.50	$6,646.78
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $492.36 / $619.54 / $659.26	Professional		$492.36	$619.54	$659.26
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $795.21	Facility		$555.00	$597.00	$795.21
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $79.52 / $79.52 / $79.52	Facility	AS	$79.52	$79.52	$79.52
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $531.30 / $886.02 / $2,074.94	Professional		$531.30	$886.02	$2,074.94
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,248.00 / $11,200.00	Facility		$2,264.00	$5,248.00	$11,200.00
United Facility/Professional Professional Modifier Low / Median / High Price $590.49 / $820.13 / $2,006.20	Professional		$590.49	$820.13	$2,006.20
Univera Facility/Professional Facility Modifier Low / Median / High Price $565.33 / $565.33 / $2,268.58	Facility		$565.33	$565.33	$2,268.58
Univera Facility/Professional Professional Modifier Low / Median / High Price $536.41 / $851.56 / $1,391.52	Professional		$536.41	$851.56	$1,391.52