Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $484.37 / $3,621.00 / $10,526.00	Facility		$484.37	$3,621.00	$10,526.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $335.38 / $508.25 / $1,014.03	Professional		$335.38	$508.25	$1,014.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $170.57 / $170.57 / $170.57	Professional		$170.57	$170.57	$170.57
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 $432.41 / $549.17 / $1,168.83	Professional		$432.41	$549.17	$1,168.83
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $510.74 / $2,390.00 / $10,957.50	Facility		$510.74	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $510.74 / $510.74 / $748.51	Professional		$510.74	$510.74	$748.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $622.90 / $622.90 / $622.90	Facility		$622.90	$622.90	$622.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $378.00 / $653.25 / $1,662.35	Professional		$378.00	$653.25	$1,662.35
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $250.00 / $390.45 / $947.43	Facility		$250.00	$390.45	$947.43
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $568.59 / $789.32 / $1,158.04	Professional		$568.59	$789.32	$1,158.04
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $488.27 / $488.27 / $488.27	Facility		$488.27	$488.27	$488.27
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $418.10 / $630.95 / $1,113.01	Professional		$418.10	$630.95	$1,113.01
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,398.79 / $6,575.96 / $8,550.28	Facility		$2,398.79	$6,575.96	$8,550.28
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $513.84 / $516.66 / $959.01	Professional		$513.84	$516.66	$959.01
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $622.90	Facility		$555.00	$597.00	$622.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $416.77 / $697.32 / $1,627.03	Professional		$416.77	$697.32	$1,627.03
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 $471.00 / $654.16 / $1,625.43	Professional		$471.00	$654.16	$1,625.43
Univera Facility/Professional Facility Modifier Low / Median / High Price $442.99 / $442.99 / $1,728.49	Facility		$442.99	$442.99	$1,728.49
Univera Facility/Professional Professional Modifier Low / Median / High Price $429.04 / $680.45 / $1,113.01	Professional		$429.04	$680.45	$1,113.01