Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $541.87 / $5,591.13 / $13,262.00	Facility		$541.87	$5,591.13	$13,262.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,473.00 / $9,969.75 / $22,848.00	Facility	50	$3,473.00	$9,969.75	$22,848.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $326.52 / $541.87 / $1,971.14	Professional		$326.52	$541.87	$1,971.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $197.65 / $363.24 / $378.91	Professional		$197.65	$363.24	$378.91
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 $429.23 / $545.15 / $1,261.92	Professional		$429.23	$545.15	$1,261.92
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $538.36 / $1,990.00 / $8,917.50	Facility		$538.36	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $538.36 / $538.36 / $766.58	Professional		$538.36	$538.36	$766.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $662.53 / $662.53 / $662.53	Facility		$662.53	$662.53	$662.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.47 / $648.87 / $1,703.49	Professional		$389.47	$648.87	$1,703.49
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $295.00 / $417.27 / $1,013.38	Facility		$295.00	$417.27	$1,013.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $573.25 / $814.94 / $1,195.89	Professional		$573.25	$814.94	$1,195.89
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $503.58 / $503.58 / $503.58	Facility		$503.58	$503.58	$503.58
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $370.78 / $647.48 / $1,142.17	Professional		$370.78	$647.48	$1,142.17
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,967.78 / $4,236.50 / $6,320.93	Facility		$1,967.78	$4,236.50	$6,320.93
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $425.13 / $464.20 / $602.33	Professional		$425.13	$464.20	$602.33
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $662.53	Facility		$555.00	$597.00	$662.53
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $425.21 / $710.20 / $1,650.74	Professional		$425.21	$710.20	$1,650.74
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 $482.36 / $669.94 / $1,666.00	Professional		$482.36	$669.94	$1,666.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $469.79 / $469.79 / $1,514.31	Facility		$469.79	$469.79	$1,514.31
Univera Facility/Professional Professional Modifier Low / Median / High Price $374.25 / $701.78 / $1,142.17	Professional		$374.25	$701.78	$1,142.17