Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,128.70 / $4,239.43 / $11,220.00	Facility		$1,128.70	$4,239.43	$11,220.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $836.66 / $967.81 / $2,081.89	Professional		$836.66	$967.81	$2,081.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,825.40 / $1,825.40 / $1,825.40	Professional		$1,825.40	$1,825.40	$1,825.40
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 $759.70 / $986.80 / $2,227.67	Professional		$759.70	$986.80	$2,227.67
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,313.16 / $2,390.00 / $10,957.50	Facility		$1,313.16	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,313.16 / $1,313.16 / $1,313.16	Professional		$1,313.16	$1,313.16	$1,313.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,056.80 / $1,056.80 / $1,056.80	Facility		$1,056.80	$1,056.80	$1,056.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $928.33 / $1,413.51 / $3,504.28	Professional		$928.33	$1,413.51	$3,504.28
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,378.00 / $2,492.19	Facility		$332.00	$1,378.00	$2,492.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,018.72 / $1,446.47 / $2,137.75	Professional		$1,018.72	$1,446.47	$2,137.75
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $874.81 / $874.81 / $874.81	Facility		$874.81	$874.81	$874.81
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $757.97 / $1,114.66 / $1,966.29	Professional		$757.97	$1,114.66	$1,966.29
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,510.71 / $2,510.71 / $2,510.71	Professional		$2,510.71	$2,510.71	$2,510.71
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,056.80	Facility		$555.00	$597.00	$1,056.80
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $959.71 / $1,413.51 / $3,257.19	Professional		$959.71	$1,413.51	$3,257.19
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,963.00 / $14,457.00	Facility		$2,264.00	$5,963.00	$14,457.00
United Facility/Professional Professional Modifier Low / Median / High Price $827.79 / $1,170.23 / $2,933.58	Professional		$827.79	$1,170.23	$2,933.58
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,114.66 / $1,114.66 / $4,411.39	Facility		$1,114.66	$1,114.66	$4,411.39
Univera Facility/Professional Professional Modifier Low / Median / High Price $801.41 / $1,219.13 / $2,356.21	Professional		$801.41	$1,219.13	$2,356.21