Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $669.12 / $2,884.50 / $7,735.00	Facility		$669.12	$2,884.50	$7,735.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.85 / $729.75 / $1,486.73	Professional		$501.85	$729.75	$1,486.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $371.49 / $371.49 / $467.21	Professional		$371.49	$371.49	$467.21
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 $565.46 / $702.21 / $1,711.91	Professional		$565.46	$702.21	$1,711.91
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $679.40 / $1,716.00 / $6,213.00	Facility		$679.40	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $679.40 / $679.40 / $1,012.66	Professional		$679.40	$679.40	$1,012.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $831.68 / $831.68 / $831.68	Facility		$831.68	$831.68	$831.68
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $83.17 / $83.17 / $83.17	Facility	AS	$83.17	$83.17	$83.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $530.78 / $901.16 / $2,424.78	Professional		$530.78	$901.16	$2,424.78
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $841.65 / $1,806.05	Facility		$332.00	$841.65	$1,806.05
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $757.21 / $1,049.50 / $1,539.16	Professional		$757.21	$1,049.50	$1,539.16
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $650.25 / $650.25 / $650.25	Facility		$650.25	$650.25	$650.25
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $618.20 / $732.31 / $1,480.25	Professional		$618.20	$732.31	$1,480.25
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $930.49 / $2,463.04 / $6,551.14	Facility		$930.49	$2,463.04	$6,551.14
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $675.54 / $675.54 / $697.84	Professional		$675.54	$675.54	$697.84
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $831.68	Facility		$555.00	$597.00	$831.68
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $83.17 / $83.17 / $83.17	Facility	AS	$83.17	$83.17	$83.17
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $571.32 / $964.94 / $2,424.78	Professional		$571.32	$964.94	$2,424.78
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,248.00 / $11,200.00	Facility		$2,264.00	$5,248.00	$11,200.00
United Facility/Professional Professional Modifier Low / Median / High Price $634.64 / $904.20 / $2,262.19	Professional		$634.64	$904.20	$2,262.19
Univera Facility/Professional Facility Modifier Low / Median / High Price $590.36 / $590.36 / $2,373.63	Facility		$590.36	$590.36	$2,373.63
Univera Facility/Professional Professional Modifier Low / Median / High Price $618.20 / $906.19 / $1,480.25	Professional		$618.20	$906.19	$1,480.25