Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $673.16 / $3,463.19 / $10,170.00	Facility		$673.16	$3,463.19	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $469.97 / $732.27 / $1,598.93	Professional		$469.97	$732.27	$1,598.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $281.73 / $281.73 / $281.73	Professional		$281.73	$281.73	$281.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,749.00 / $9,877.00 / $16,490.00	Facility		$4,749.00	$9,877.00	$16,490.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $670.76 / $851.90 / $1,727.86	Professional		$670.76	$851.90	$1,727.86
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $706.26 / $1,990.00 / $8,917.50	Facility		$706.26	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $706.26 / $706.26 / $1,205.68	Professional		$706.26	$706.26	$1,205.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $865.11 / $865.11 / $865.11	Facility		$865.11	$865.11	$865.11
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $86.51 / $86.51 / $86.51	Facility	AS	$86.51	$86.51	$86.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $521.92 / $980.31 / $2,542.13	Professional		$521.92	$980.31	$2,542.13
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $879.74 / $1,926.49	Facility		$332.00	$879.74	$1,926.49
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $893.68 / $1,247.31 / $1,831.76	Professional		$893.68	$1,247.31	$1,831.76
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $767.44 / $767.44 / $767.44	Facility		$767.44	$767.44	$767.44
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $577.57 / $978.62 / $1,761.03	Professional		$577.57	$978.62	$1,761.03
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,050.78 / $2,543.92 / $3,110.50	Facility		$2,050.78	$2,543.92	$3,110.50
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $708.22 / $712.12 / $716.01	Professional		$708.22	$712.12	$716.01
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $865.11	Facility		$555.00	$597.00	$865.11
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $86.51 / $86.51 / $86.51	Facility	AS	$86.51	$86.51	$86.51
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $589.39 / $1,054.69 / $2,457.07	Professional		$589.39	$1,054.69	$2,457.07
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 $726.47 / $1,045.03 / $2,557.80	Professional		$726.47	$1,045.03	$2,557.80
Univera Facility/Professional Facility Modifier Low / Median / High Price $615.27 / $615.27 / $2,466.71	Facility		$615.27	$615.27	$2,466.71
Univera Facility/Professional Professional Modifier Low / Median / High Price $615.27 / $1,038.23 / $1,761.03	Professional		$615.27	$1,038.23	$1,761.03