Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $719.46 / $4,230.62 / $10,194.49	Facility		$719.46	$4,230.62	$10,194.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $488.01 / $733.70 / $2,163.94	Professional		$488.01	$733.70	$2,163.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $481.79 / $501.04 / $787.98	Professional		$481.79	$501.04	$787.98
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 $684.18 / $893.23 / $1,838.63	Professional		$684.18	$893.23	$1,838.63
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $723.88 / $1,990.00 / $8,917.50	Facility		$723.88	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $723.88 / $723.88 / $1,293.01	Professional		$723.88	$723.88	$1,293.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $882.10 / $882.10 / $882.10	Facility		$882.10	$882.10	$882.10
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $88.21 / $88.21 / $88.21	Facility	AS	$88.21	$88.21	$88.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $536.75 / $1,030.82 / $2,675.24	Professional		$536.75	$1,030.82	$2,675.24
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $897.27 / $1,948.16	Facility		$332.00	$897.27	$1,948.16
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $949.88 / $1,264.27 / $2,127.19	Professional		$949.88	$1,264.27	$2,127.19
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $815.70 / $815.70 / $815.70	Facility		$815.70	$815.70	$815.70
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $643.87 / $899.10 / $1,865.91	Professional		$643.87	$899.10	$1,865.91
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,275.20 / $5,627.83 / $7,520.24	Facility		$4,275.20	$5,627.83	$7,520.24
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $717.08 / $735.38 / $743.47	Professional		$717.08	$735.38	$743.47
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $882.10	Facility		$555.00	$597.00	$882.10
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $88.21 / $88.21 / $88.21	Facility	AS	$88.21	$88.21	$88.21
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $605.48 / $1,126.82 / $2,667.93	Professional		$605.48	$1,126.82	$2,667.93
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 $735.26 / $1,055.48 / $2,543.59	Professional		$735.26	$1,055.48	$2,543.59
Univera Facility/Professional Facility Modifier Low / Median / High Price $623.79 / $623.79 / $2,787.24	Facility		$623.79	$623.79	$2,787.24
Univera Facility/Professional Professional Modifier Low / Median / High Price $643.87 / $1,136.76 / $1,865.91	Professional		$643.87	$1,136.76	$1,865.91