Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $4,677.35 / $10,471.29	Facility		$758.58	$4,677.35	$10,471.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $831.76 / $2,238.72	Professional		$501.19	$831.76	$2,238.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $501.19 / $812.83	Professional		$489.78	$501.19	$812.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $5,888.44 / $12,302.69	Facility		$3,388.44	$5,888.44	$12,302.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $912.01 / $2,041.74	Professional		$724.44	$912.01	$2,041.74
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,995.26 / $8,912.51	Facility		$724.44	$1,995.26	$8,912.51
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $1,288.25	Professional		$724.44	$724.44	$1,288.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $50,118.72	Facility		$891.25	$891.25	$50,118.72
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $89.13 / $89.13 / $89.13	Facility	AS	$89.13	$89.13	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $1,071.52 / $2,951.21	Professional		$537.03	$1,071.52	$2,951.21
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $1,000.00 / $1,862.09	Facility		$562.34	$1,000.00	$1,862.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,412.54 / $1,995.26	Professional		$1,023.29	$1,412.54	$1,995.26
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Facility		$812.83	$812.83	$812.83
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,148.15 / $1,862.09	Professional		$645.65	$1,148.15	$1,862.09
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $5,495.41 / $7,943.28	Facility		$2,454.71	$5,495.41	$7,943.28
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $741.31 / $741.31	Professional		$588.84	$741.31	$741.31
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $50,118.72 / $75,857.76	Facility		$616.60	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,202.26 / $2,398.83	Professional		$398.11	$1,202.26	$2,398.83
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $5,128.61 / $11,481.54	Facility		$2,344.23	$5,128.61	$11,481.54
United Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $851.14 / $2,137.96	Professional		$489.78	$851.14	$2,137.96
Univera Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $630.96 / $2,818.38	Facility		$426.58	$630.96	$2,818.38
Univera Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,047.13 / $2,089.30	Professional		$645.65	$1,047.13	$2,089.30