Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $3,981.07 / $9,120.11	Facility		$794.33	$3,981.07	$9,120.11
Aetna Facility/Professional Facility Modifier AS Low / Median / High Price $5,623.41 / $5,623.41 / $5,623.41	Facility	AS	$5,623.41	$5,623.41	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $707.95 / $2,818.38	Professional		$138.04	$707.95	$2,818.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $575.44 / $602.56	Professional		$77.62	$575.44	$602.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $5,888.44 / $13,489.63	Facility		$3,388.44	$5,888.44	$13,489.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $660.69 / $1,698.24	Professional		$537.03	$660.69	$1,698.24
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,995.26 / $8,912.51	Facility		$831.76	$1,995.26	$8,912.51
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Professional		$831.76	$831.76	$831.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $50,118.72	Facility		$1,000.00	$1,000.00	$50,118.72
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Facility	22	$1,202.26	$1,202.26	$1,202.26
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $100.00 / $100.00 / $100.00	Facility	AS	$100.00	$100.00	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $933.25 / $2,951.21	Professional		$602.56	$933.25	$2,951.21
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $933.25 / $2,187.76	Facility		$660.69	$933.25	$2,187.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $891.25 / $1,412.54	Professional		$645.65	$891.25	$1,412.54
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $562.34 / $562.34	Facility		$562.34	$562.34	$562.34
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $776.25 / $1,258.93	Professional		$537.03	$776.25	$1,258.93
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.42 / $1,949.84 / $5,754.40	Facility		$0.42	$1,949.84	$5,754.40
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $851.14 / $1,148.15	Professional		$588.84	$851.14	$1,148.15
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $50,118.72 / $75,857.76	Facility		$660.69	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $831.76 / $1,621.81	Professional		$398.11	$831.76	$1,621.81
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $6,456.54 / $16,595.87	Facility		$2,454.71	$6,456.54	$16,595.87
United Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $776.25 / $1,995.26	Professional		$537.03	$776.25	$1,995.26
Univera Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $707.95 / $2,951.21	Facility		$489.78	$707.95	$2,951.21
Univera Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $724.44 / $1,819.70	Professional		$501.19	$724.44	$1,819.70