Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $497.49 / $4,574.00 / $19,601.50	Facility		$497.49	$4,574.00	$19,601.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $336.93 / $490.01 / $924.20	Professional		$336.93	$490.01	$924.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $388.38 / $388.38 / $388.38	Professional		$388.38	$388.38	$388.38
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 $426.72 / $541.96 / $1,211.16	Professional		$426.72	$541.96	$1,211.16
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $525.42 / $1,990.00 / $8,917.50	Facility		$525.42	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $525.42 / $525.42 / $756.51	Professional		$525.42	$525.42	$756.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $647.41 / $647.41 / $647.41	Facility		$647.41	$647.41	$647.41
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $64.73 / $64.73 / $64.73	Facility	AS	$64.73	$64.73	$64.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $383.87 / $656.68 / $1,705.90	Professional		$383.87	$656.68	$1,705.90
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $547.00 / $1,001.50	Facility		$332.00	$547.00	$1,001.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $571.13 / $778.48 / $1,192.43	Professional		$571.13	$778.48	$1,192.43
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $500.05 / $500.05 / $500.05	Facility		$500.05	$500.05	$500.05
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $388.65 / $639.09 / $1,127.35	Professional		$388.65	$639.09	$1,127.35
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,471.01 / $3,173.67 / $6,280.91	Facility		$1,471.01	$3,173.67	$6,280.91
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $411.86 / $529.01 / $951.62	Professional		$411.86	$529.01	$951.62
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $36,596.00	Facility		$555.00	$597.00	$36,596.00
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $64.73 / $64.73 / $64.73	Facility	AS	$64.73	$64.73	$64.73
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $403.00 / $698.29 / $1,641.46	Professional		$403.00	$698.29	$1,641.46
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 $465.66 / $657.83 / $1,648.63	Professional		$465.66	$657.83	$1,648.63
Univera Facility/Professional Facility Modifier Low / Median / High Price $459.42 / $459.42 / $1,355.33	Facility		$459.42	$459.42	$1,355.33
Univera Facility/Professional Professional Modifier Low / Median / High Price $434.58 / $696.87 / $1,127.35	Professional		$434.58	$696.87	$1,127.35