Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.58 / $3,414.00 / $9,969.75	Facility		$398.58	$3,414.00	$9,969.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.23 / $401.39 / $721.64	Professional		$275.23	$401.39	$721.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $275.23 / $275.23 / $402.79	Professional		$275.23	$275.23	$402.79
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 $340.23 / $432.11 / $956.71	Professional		$340.23	$432.11	$956.71
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $418.00 / $1,990.00 / $8,917.50	Facility		$418.00	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $418.00 / $418.00 / $619.49	Professional		$418.00	$418.00	$619.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $504.27 / $504.27 / $504.27	Facility		$504.27	$504.27	$504.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $305.12 / $537.85 / $1,346.85	Professional		$305.12	$537.85	$1,346.85
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $315.27 / $450.00 / $762.66	Facility		$315.27	$450.00	$762.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $462.94 / $640.48 / $938.87	Professional		$462.94	$640.48	$938.87
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $397.54 / $397.54 / $397.54	Facility		$397.54	$397.54	$397.54
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $349.99 / $512.66 / $904.35	Professional		$349.99	$512.66	$904.35
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,685.19 / $1,740.63 / $6,606.93	Facility		$1,685.19	$1,740.63	$6,606.93
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $419.67 / $424.29 / $424.29	Professional		$419.67	$424.29	$424.29
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $504.27 / $555.00 / $597.00	Facility		$504.27	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $310.19 / $576.14 / $1,334.09	Professional		$310.19	$576.14	$1,334.09
United Facility/Professional Facility Modifier Low / Median / High Price $2,031.00 / $4,840.00 / $9,416.00	Facility		$2,031.00	$4,840.00	$9,416.00
United Facility/Professional Professional Modifier Low / Median / High Price $368.21 / $519.83 / $1,243.27	Professional		$368.21	$519.83	$1,243.27
Univera Facility/Professional Facility Modifier Low / Median / High Price $357.87 / $357.87 / $1,448.05	Facility		$357.87	$357.87	$1,448.05
Univera Facility/Professional Professional Modifier Low / Median / High Price $349.99 / $554.02 / $904.35	Professional		$349.99	$554.02	$904.35