Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $427.73 / $2,906.41 / $8,521.00	Facility		$427.73	$2,906.41	$8,521.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $294.66 / $470.80 / $1,056.33	Professional		$294.66	$470.80	$1,056.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $153.16 / $208.75 / $217.66	Professional		$153.16	$208.75	$217.66
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 $399.82 / $507.79 / $1,090.57	Professional		$399.82	$507.79	$1,090.57
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $458.49 / $1,990.00 / $8,917.50	Facility		$458.49	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $458.49 / $458.49 / $706.76	Professional		$458.49	$458.49	$706.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $557.83 / $557.83 / $557.83	Facility		$557.83	$557.83	$557.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $341.74 / $615.27 / $1,559.13	Professional		$341.74	$615.27	$1,559.13
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $571.00 / $1,247.68	Facility		$332.00	$571.00	$1,247.68
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $533.74 / $744.21 / $1,092.75	Professional		$533.74	$744.21	$1,092.75
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $458.34 / $458.34 / $458.34	Facility		$458.34	$458.34	$458.34
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $378.73 / $584.46 / $1,042.84	Professional		$378.73	$584.46	$1,042.84
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,740.63 / $1,740.63 / $4,857.68	Facility		$1,740.63	$1,740.63	$4,857.68
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $435.40 / $460.40 / $750.00	Professional		$435.40	$460.40	$750.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $557.83 / $597.00	Facility		$555.00	$557.83	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $373.72 / $649.73 / $1,545.23	Professional		$373.72	$649.73	$1,545.23
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 $443.00 / $627.92 / $1,497.03	Professional		$443.00	$627.92	$1,497.03
Univera Facility/Professional Facility Modifier Low / Median / High Price $396.50 / $396.50 / $1,540.84	Facility		$396.50	$396.50	$1,540.84
Univera Facility/Professional Professional Modifier Low / Median / High Price $378.73 / $614.82 / $1,042.84	Professional		$378.73	$614.82	$1,042.84