Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $709.53 / $4,299.00 / $10,222.65	Facility		$709.53	$4,299.00	$10,222.65
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $7,116.12 / $7,977.37 / $10,517.90	Facility	50	$7,116.12	$7,977.37	$10,517.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $451.80 / $585.47 / $2,690.59	Professional		$451.80	$585.47	$2,690.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $274.83 / $347.60 / $695.20	Professional		$274.83	$347.60	$695.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,385.00 / $4,133.00 / $9,074.00	Facility		$2,385.00	$4,133.00	$9,074.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $440.45 / $558.48 / $1,231.00	Professional		$440.45	$558.48	$1,231.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $722.60 / $4,275.50 / $16,534.50	Facility		$722.60	$4,275.50	$16,534.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $722.60 / $722.60 / $722.60	Professional		$722.60	$722.60	$722.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $589.59 / $589.59 / $589.59	Facility		$589.59	$589.59	$589.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $499.29 / $769.51 / $1,986.00	Professional		$499.29	$769.51	$1,986.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $659.00 / $1,384.09	Facility		$332.00	$659.00	$1,384.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $568.96 / $804.74 / $1,187.24	Professional		$568.96	$804.74	$1,187.24
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $488.59 / $488.59 / $488.59	Facility		$488.59	$488.59	$488.59
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $415.02 / $528.38 / $1,096.54	Professional		$415.02	$528.38	$1,096.54
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $586.30 / $586.30 / $586.30	Professional		$586.30	$586.30	$586.30
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,893.86 / $2,975.26 / $5,979.11	Facility		$1,893.86	$2,975.26	$5,979.11
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $4,452.57 / $5,223.22 / $6,773.23	Facility	50	$4,452.57	$5,223.22	$6,773.23
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $488.59 / $698.21 / $723.91	Professional		$488.59	$698.21	$723.91
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $36,596.00	Facility		$555.00	$597.00	$36,596.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $512.69 / $769.51 / $1,791.34	Professional		$512.69	$769.51	$1,791.34
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,248.00 / $14,064.00	Facility		$2,264.00	$5,248.00	$14,064.00
United Facility/Professional Professional Modifier Low / Median / High Price $453.69 / $651.71 / $1,631.95	Professional		$453.69	$651.71	$1,631.95
Univera Facility/Professional Facility Modifier Low / Median / High Price $621.62 / $621.62 / $2,081.02	Facility		$621.62	$621.62	$2,081.02
Univera Facility/Professional Professional Modifier Low / Median / High Price $415.02 / $680.90 / $1,314.00	Professional		$415.02	$680.90	$1,314.00