Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $399.54 / $3,599.00 / $10,152.00	Facility		$399.54	$3,599.00	$10,152.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.76 / $428.08 / $864.60	Professional		$269.76	$428.08	$864.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $224.16 / $224.16 / $448.31	Professional		$224.16	$224.16	$448.31
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 $367.05 / $466.17 / $1,021.66	Professional		$367.05	$466.17	$1,021.66
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $409.05 / $1,990.00 / $8,917.50	Facility		$409.05	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $409.05 / $409.05 / $660.19	Professional		$409.05	$409.05	$660.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $503.76 / $503.76 / $503.76	Facility		$503.76	$503.76	$503.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $303.52 / $558.66 / $1,409.42	Professional		$303.52	$558.66	$1,409.42
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $317.70 / $440.00 / $772.38	Facility		$317.70	$440.00	$772.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $500.07 / $697.65 / $1,024.36	Professional		$500.07	$697.65	$1,024.36
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $429.43 / $429.43 / $429.43	Facility		$429.43	$429.43	$429.43
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $363.89 / $470.78 / $977.02	Professional		$363.89	$470.78	$977.02
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,118.25 / $3,323.32 / $3,722.84	Facility		$2,118.25	$3,323.32	$3,722.84
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $413.93 / $413.93 / $837.36	Professional		$413.93	$413.93	$837.36
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $503.76 / $555.00 / $597.00	Facility		$503.76	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $336.47 / $596.64 / $1,416.67	Professional		$336.47	$596.64	$1,416.67
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 $409.84 / $568.46 / $1,425.89	Professional		$409.84	$568.46	$1,425.89
Univera Facility/Professional Facility Modifier Low / Median / High Price $356.81 / $356.81 / $1,378.75	Facility		$356.81	$356.81	$1,378.75
Univera Facility/Professional Professional Modifier Low / Median / High Price $363.89 / $598.45 / $977.02	Professional		$363.89	$598.45	$977.02