Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $3,311.31 / $10,000.00	Facility		$602.56	$3,311.31	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $602.56 / $1,348.96	Professional		$398.11	$602.56	$1,348.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Professional		$446.68	$446.68	$446.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $5,888.44 / $12,302.69	Facility		$3,388.44	$5,888.44	$12,302.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $588.84 / $1,479.11	Professional		$478.63	$588.84	$1,479.11
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,995.26 / $8,912.51	Facility		$602.56	$1,995.26	$8,912.51
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $831.76	Professional		$602.56	$602.56	$831.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $50,118.72	Facility		$724.44	$724.44	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $741.31 / $1,995.26	Professional		$436.52	$741.31	$1,995.26
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $524.81 / $1,548.82	Facility		$436.52	$524.81	$1,548.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $933.25 / $1,318.26	Professional		$660.69	$933.25	$1,318.26
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $758.58 / $1,230.27	Professional		$467.74	$758.58	$1,230.27
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Facility		$2,238.72	$2,238.72	$2,238.72
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $602.56 / $831.76	Professional		$575.44	$602.56	$831.76
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $50,118.72 / $75,857.76	Facility		$436.52	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $776.25 / $1,584.89	Professional		$398.11	$776.25	$1,584.89
United Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $4,365.16 / $9,549.93	Facility		$2,041.74	$4,365.16	$9,549.93
United Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $602.56 / $1,513.56	Professional		$380.19	$602.56	$1,513.56
Univera Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $512.86 / $1,698.24	Facility		$354.81	$512.86	$1,698.24
Univera Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $724.44 / $1,513.56	Professional		$478.63	$724.44	$1,513.56