Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,379.40 / $6,237.40 / $12,006.68	Facility		$1,379.40	$6,237.40	$12,006.68
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $5,502.00 / $5,502.00 / $5,502.00	Facility	22	$5,502.00	$5,502.00	$5,502.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $931.52 / $1,308.07 / $5,182.21	Professional		$931.52	$1,308.07	$5,182.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $968.22 / $1,148.93 / $1,804.37	Professional		$968.22	$1,148.93	$1,804.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,749.00 / $9,877.00 / $17,154.00	Facility		$4,749.00	$9,877.00	$17,154.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $928.57 / $1,213.82 / $2,815.93	Professional		$928.57	$1,213.82	$2,815.93
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,510.71 / $2,644.00 / $12,319.50	Facility		$1,510.71	$2,644.00	$12,319.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,510.71 / $1,510.71 / $1,510.71	Professional		$1,510.71	$1,510.71	$1,510.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,211.14 / $1,211.14 / $1,211.14	Facility		$1,211.14	$1,211.14	$1,211.14
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $120.27 / $120.27 / $120.27	Facility	AS	$120.27	$120.27	$120.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,055.58 / $1,637.35 / $4,086.70	Professional		$1,055.58	$1,637.35	$4,086.70
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,586.00 / $6,439.16	Facility		$332.00	$1,586.00	$6,439.16
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,165.88 / $1,716.73 / $4,513.16	Professional		$1,165.88	$1,716.73	$4,513.16
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,001.18 / $1,001.18 / $1,001.18	Facility		$1,001.18	$1,001.18	$1,001.18
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $869.87 / $1,087.33 / $2,256.58	Professional		$869.87	$1,087.33	$2,256.58
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,121.25 / $6,199.78 / $13,906.90	Facility		$2,121.25	$6,199.78	$13,906.90
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,167.32 / $1,483.02 / $1,919.42	Professional		$1,167.32	$1,483.02	$1,919.42
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,211.14	Facility		$555.00	$597.00	$1,211.14
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $120.27 / $120.27 / $120.27	Facility	AS	$120.27	$120.27	$120.27
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,098.48 / $1,637.35 / $4,000.00	Professional		$1,098.48	$1,637.35	$4,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,341.00 / $6,700.00 / $16,782.00	Facility		$2,341.00	$6,700.00	$16,782.00
United Facility/Professional Professional Modifier Low / Median / High Price $937.70 / $1,322.43 / $3,371.16	Professional		$937.70	$1,322.43	$3,371.16
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,279.22 / $1,279.22 / $5,170.39	Facility		$1,279.22	$1,279.22	$5,170.39
Univera Facility/Professional Professional Modifier Low / Median / High Price $935.09 / $1,395.24 / $2,704.08	Professional		$935.09	$1,395.24	$2,704.08