Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $410.74 / $3,414.00 / $10,194.49	Facility		$410.74	$3,414.00	$10,194.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $287.81 / $439.93 / $1,020.64	Professional		$287.81	$439.93	$1,020.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $294.07 / $294.07 / $294.07	Professional		$294.07	$294.07	$294.07
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 $371.20 / $471.45 / $1,033.51	Professional		$371.20	$471.45	$1,033.51
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $432.99 / $1,990.00 / $8,917.50	Facility		$432.99	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $432.99 / $432.99 / $666.46	Professional		$432.99	$432.99	$666.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $527.62 / $527.62 / $527.62	Facility		$527.62	$527.62	$527.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $321.61 / $582.90 / $1,473.33	Professional		$321.61	$582.90	$1,473.33
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $295.00 / $358.21 / $805.97	Facility		$295.00	$358.21	$805.97
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $502.68 / $699.69 / $1,026.95	Professional		$502.68	$699.69	$1,026.95
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $431.67 / $431.67 / $431.67	Facility		$431.67	$431.67	$431.67
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.48 / $550.46 / $984.74	Professional		$371.48	$550.46	$984.74
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,073.83 / $2,638.08 / $3,481.27	Facility		$1,073.83	$2,638.08	$3,481.27
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $427.36 / $443.08 / $854.48	Professional		$427.36	$443.08	$854.48
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $527.62 / $555.00 / $597.00	Facility		$527.62	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $352.93 / $615.50 / $1,468.76	Professional		$352.93	$615.50	$1,468.76
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 $413.52 / $584.29 / $1,464.21	Professional		$413.52	$584.29	$1,464.21
Univera Facility/Professional Facility Modifier Low / Median / High Price $375.01 / $375.01 / $1,485.85	Facility		$375.01	$375.01	$1,485.85
Univera Facility/Professional Professional Modifier Low / Median / High Price $375.01 / $580.55 / $984.74	Professional		$375.01	$580.55	$984.74