Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $479.56 / $2,626.00 / $8,442.00	Facility		$479.56	$2,626.00	$8,442.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.83 / $480.13 / $907.34	Professional		$331.83	$480.13	$907.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $336.96 / $336.96 / $336.96	Professional		$336.96	$336.96	$336.96
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 $401.60 / $510.06 / $1,142.65	Professional		$401.60	$510.06	$1,142.65
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $509.97 / $1,716.00 / $6,213.00	Facility		$509.97	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $509.97 / $509.97 / $747.74	Professional		$509.97	$509.97	$747.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $614.42 / $614.42 / $614.42	Facility		$614.42	$614.42	$614.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $375.67 / $652.04 / $1,639.76	Professional		$375.67	$652.04	$1,639.76
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $615.83 / $1,100.80	Facility		$332.00	$615.83	$1,100.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $558.54 / $776.49 / $1,139.60	Professional		$558.54	$776.49	$1,139.60
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $479.65 / $479.65 / $479.65	Facility		$479.65	$479.65	$479.65
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $411.84 / $621.04 / $1,095.53	Professional		$411.84	$621.04	$1,095.53
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,537.00 / $4,537.00 / $6,444.35	Facility		$4,537.00	$4,537.00	$6,444.35
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $401.62 / $510.24 / $955.43	Professional		$401.62	$510.24	$955.43
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $614.42	Facility		$555.00	$597.00	$614.42
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $414.33 / $693.44 / $1,601.32	Professional		$414.33	$693.44	$1,601.32
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 $466.45 / $651.73 / $1,525.15	Professional		$466.45	$651.73	$1,525.15
Univera Facility/Professional Facility Modifier Low / Median / High Price $437.42 / $437.42 / $1,118.69	Facility		$437.42	$437.42	$1,118.69
Univera Facility/Professional Professional Modifier Low / Median / High Price $422.31 / $668.44 / $1,095.53	Professional		$422.31	$668.44	$1,095.53