Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $508.04 / $2,892.00 / $7,978.42	Facility		$508.04	$2,892.00	$7,978.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $347.68 / $534.74 / $1,106.56	Professional		$347.68	$534.74	$1,106.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $247.62 / $247.62 / $379.78	Professional		$247.62	$247.62	$379.78
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 $458.65 / $582.51 / $1,308.34	Professional		$458.65	$582.51	$1,308.34
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $541.53 / $1,716.00 / $6,213.00	Facility		$541.53	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $541.53 / $541.53 / $817.02	Professional		$541.53	$541.53	$817.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $661.09 / $661.09 / $661.09	Facility		$661.09	$661.09	$661.09
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $66.11 / $66.11 / $66.11	Facility	AS	$66.11	$66.11	$66.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $397.93 / $707.41 / $1,850.64	Professional		$397.93	$707.41	$1,850.64
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $520.00 / $1,066.00	Facility		$332.00	$520.00	$1,066.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $616.47 / $860.41 / $1,263.71	Professional		$616.47	$860.41	$1,263.71
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $529.39 / $529.39 / $529.39	Facility		$529.39	$529.39	$529.39
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $433.94 / $675.07 / $1,207.24	Professional		$433.94	$675.07	$1,207.24
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,505.54 / $4,266.17 / $13,884.01	Facility		$1,505.54	$4,266.17	$13,884.01
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $381.96 / $516.39 / $1,029.03	Professional		$381.96	$516.39	$1,029.03
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $661.09	Facility		$555.00	$597.00	$661.09
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $66.11 / $66.11 / $66.11	Facility	AS	$66.11	$66.11	$66.11
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $431.41 / $748.09 / $1,850.64	Professional		$431.41	$748.09	$1,850.64
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 $510.97 / $722.21 / $1,875.15	Professional		$510.97	$722.21	$1,875.15
Univera Facility/Professional Facility Modifier Low / Median / High Price $470.74 / $470.74 / $1,702.99	Facility		$470.74	$470.74	$1,702.99
Univera Facility/Professional Professional Modifier Low / Median / High Price $465.37 / $711.74 / $1,207.24	Professional		$465.37	$711.74	$1,207.24