Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $472.79 / $2,626.00 / $7,307.00	Facility		$472.79	$2,626.00	$7,307.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.84 / $435.61 / $901.40	Professional		$371.84	$435.61	$901.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $225.55 / $225.55 / $275.68	Professional		$225.55	$225.55	$275.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,385.00 / $4,133.00 / $9,074.00	Facility		$2,385.00	$4,133.00	$9,074.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $377.43 / $468.71 / $982.70	Professional		$377.43	$468.71	$982.70
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $567.28 / $1,254.00 / $4,050.00	Facility		$567.28	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $567.28 / $567.28 / $617.41	Professional		$567.28	$567.28	$617.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $695.28 / $695.28 / $695.28	Facility		$695.28	$695.28	$695.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $417.51 / $623.83 / $1,542.34	Professional		$417.51	$623.83	$1,542.34
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $255.00 / $416.00 / $1,104.89	Facility		$255.00	$416.00	$1,104.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $492.34 / $697.88 / $1,029.40	Professional		$492.34	$697.88	$1,029.40
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $422.79 / $422.79 / $422.79	Facility		$422.79	$422.79	$422.79
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $348.44 / $539.13 / $952.64	Professional		$348.44	$539.13	$952.64
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,347.12 / $2,133.89 / $2,382.50	Facility		$1,347.12	$2,133.89	$2,382.50
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $772.22 / $772.22 / $772.22	Professional		$772.22	$772.22	$772.22
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $695.28	Facility		$555.00	$597.00	$695.28
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $419.80 / $637.29 / $1,513.81	Professional		$419.80	$637.29	$1,513.81
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.00 / $3,496.00 / $6,201.00	Facility		$1,348.00	$3,496.00	$6,201.00
United Facility/Professional Professional Modifier Low / Median / High Price $391.08 / $555.89 / $1,354.48	Professional		$391.08	$555.89	$1,354.48
Univera Facility/Professional Facility Modifier Low / Median / High Price $496.60 / $496.60 / $1,705.05	Facility		$496.60	$496.60	$1,705.05
Univera Facility/Professional Professional Modifier Low / Median / High Price $367.23 / $561.64 / $1,055.74	Professional		$367.23	$561.64	$1,055.74