Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $3,715.35 / $9,120.11	Facility		$588.84	$3,715.35	$9,120.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $537.03 / $1,258.93	Professional		$380.19	$537.03	$1,258.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $380.19	Professional		$354.81	$354.81	$380.19
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 $371.54 / $467.74 / $1,096.48	Professional		$371.54	$467.74	$1,096.48
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,698.24 / $6,165.95	Facility		$602.56	$1,698.24	$6,165.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Professional		$602.56	$602.56	$602.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $50,118.72	Facility		$724.44	$724.44	$50,118.72
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $575.44 / $575.44 / $575.44	Facility	52	$575.44	$575.44	$575.44
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $72.44 / $72.44 / $72.44	Facility	AS	$72.44	$72.44	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $660.69 / $1,905.46	Professional		$426.58	$660.69	$1,905.46
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $645.65 / $1,513.56	Facility		$467.74	$645.65	$1,513.56
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $630.96 / $891.25	Professional		$457.09	$630.96	$891.25
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Facility		$398.11	$398.11	$398.11
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $549.54 / $891.25	Professional		$380.19	$549.54	$891.25
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $5,128.61 / $6,309.57	Facility		$4,570.88	$5,128.61	$6,309.57
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $549.54 / $1,096.48	Professional		$416.87	$549.54	$1,096.48
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $50,118.72 / $75,857.76	Facility		$467.74	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $575.44 / $1,148.15	Professional		$398.11	$575.44	$1,148.15
United Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $4,365.16 / $9,549.93	Facility		$2,041.74	$4,365.16	$9,549.93
United Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $537.03 / $1,288.25	Professional		$371.54	$537.03	$1,288.25
Univera Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $512.86 / $2,041.74	Facility		$346.74	$512.86	$2,041.74
Univera Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $537.03 / $1,288.25	Professional		$354.81	$537.03	$1,288.25