Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $682.28 / $4,051.00 / $10,577.10	Facility		$682.28	$4,051.00	$10,577.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.09 / $718.06 / $2,004.38	Professional		$478.09	$718.06	$2,004.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $433.70 / $442.81 / $482.44	Professional		$433.70	$442.81	$482.44
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 $553.08 / $701.55 / $1,741.93	Professional		$553.08	$701.55	$1,741.93
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $646.26 / $1,990.00 / $8,917.50	Facility		$646.26	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $646.26 / $646.26 / $1,002.44	Professional		$646.26	$646.26	$1,002.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $789.27 / $789.27 / $789.27	Facility		$789.27	$789.27	$789.27
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $78.93 / $78.93 / $78.93	Facility	AS	$78.93	$78.93	$78.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $507.01 / $893.86 / $2,233.46	Professional		$507.01	$893.86	$2,233.46
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $540.75 / $1,207.31	Facility		$332.00	$540.75	$1,207.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $743.01 / $1,035.79 / $1,521.03	Professional		$743.01	$1,035.79	$1,521.03
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $638.04 / $638.04 / $638.04	Facility		$638.04	$638.04	$638.04
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $596.04 / $824.02 / $1,453.59	Professional		$596.04	$824.02	$1,453.59
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,482.59 / $5,547.37 / $7,418.04	Facility		$3,482.59	$5,547.37	$7,418.04
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $532.04 / $655.45 / $1,060.17	Professional		$532.04	$655.45	$1,060.17
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $789.27	Facility		$555.00	$597.00	$789.27
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $78.93 / $78.93 / $78.93	Facility	AS	$78.93	$78.93	$78.93
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $548.05 / $946.88 / $2,272.40	Professional		$548.05	$946.88	$2,272.40
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 $631.62 / $895.39 / $2,234.65	Professional		$631.62	$895.39	$2,234.65
Univera Facility/Professional Facility Modifier Low / Median / High Price $559.45 / $559.45 / $2,331.48	Facility		$559.45	$559.45	$2,331.48
Univera Facility/Professional Professional Modifier Low / Median / High Price $596.04 / $889.19 / $1,453.59	Professional		$596.04	$889.19	$1,453.59