Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $431.57 / $3,621.00 / $9,868.00	Facility		$431.57	$3,621.00	$9,868.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $287.54 / $453.73 / $821.13	Professional		$287.54	$453.73	$821.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $213.25 / $300.14 / $313.63	Professional		$213.25	$300.14	$313.63
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 $389.84 / $495.12 / $1,058.35	Professional		$389.84	$495.12	$1,058.35
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $448.90 / $1,990.00 / $8,917.50	Facility		$448.90	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $448.90 / $448.90 / $692.40	Professional		$448.90	$448.90	$692.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $545.71 / $545.71 / $545.71	Facility		$545.71	$545.71	$545.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $333.63 / $596.39 / $1,527.94	Professional		$333.63	$596.39	$1,527.94
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $360.00 / $839.52	Facility		$300.00	$360.00	$839.52
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $520.42 / $726.89 / $1,067.73	Professional		$520.42	$726.89	$1,067.73
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $446.91 / $446.91 / $446.91	Facility		$446.91	$446.91	$446.91
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $362.14 / $580.03 / $1,023.18	Professional		$362.14	$580.03	$1,023.18
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,490.06 / $3,490.06 / $3,490.06	Facility		$3,490.06	$3,490.06	$3,490.06
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $542.61 / $542.61 / $542.61	Professional		$542.61	$542.61	$542.61
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $545.71 / $555.00 / $597.00	Facility		$545.71	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $358.11 / $627.77 / $1,508.98	Professional		$358.11	$627.77	$1,508.98
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 $432.13 / $621.62 / $1,522.02	Professional		$432.13	$621.62	$1,522.02
Univera Facility/Professional Facility Modifier Low / Median / High Price $389.70 / $389.70 / $1,451.45	Facility		$389.70	$389.70	$1,451.45
Univera Facility/Professional Professional Modifier Low / Median / High Price $389.70 / $622.82 / $1,023.18	Professional		$389.70	$622.82	$1,023.18