Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $779.35 / $5,634.43 / $11,051.80	Facility		$779.35	$5,634.43	$11,051.80
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,968.78 / $2,968.78 / $2,968.78	Facility	50	$2,968.78	$2,968.78	$2,968.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $536.09 / $719.92 / $2,949.85	Professional		$536.09	$719.92	$2,949.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $256.60 / $513.21 / $761.67	Professional		$256.60	$513.21	$761.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,248.00 / $5,196.00 / $11,909.00	Facility		$3,248.00	$5,196.00	$11,909.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $488.73 / $638.87 / $1,513.42	Professional		$488.73	$638.87	$1,513.42
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $795.91 / $2,390.00 / $10,957.50	Facility		$795.91	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $795.91 / $795.91 / $795.91	Professional		$795.91	$795.91	$795.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $642.04 / $642.04 / $642.04	Facility		$642.04	$642.04	$642.04
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $63.83 / $63.83 / $63.83	Facility	AS	$63.83	$63.83	$63.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $566.53 / $948.23 / $2,593.40	Professional		$566.53	$948.23	$2,593.40
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $953.00 / $9,865.00	Facility		$332.00	$953.00	$9,865.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $619.16 / $941.11 / $3,234.14	Professional		$619.16	$941.11	$3,234.14
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $531.70 / $531.70 / $531.70	Facility		$531.70	$531.70	$531.70
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $461.27 / $581.08 / $1,196.60	Professional		$461.27	$581.08	$1,196.60
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,232.58 / $4,699.14 / $6,990.94	Facility		$2,232.58	$4,699.14	$6,990.94
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $667.91 / $785.70 / $1,005.49	Professional		$667.91	$785.70	$1,005.49
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $642.04 / $15,753.00	Facility		$555.00	$642.04	$15,753.00
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $63.83 / $63.83 / $63.83	Facility	AS	$63.83	$63.83	$63.83
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $582.49 / $884.83 / $2,204.39	Professional		$582.49	$884.83	$2,204.39
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,248.00 / $11,200.00	Facility		$2,264.00	$5,248.00	$11,200.00
United Facility/Professional Professional Modifier Low / Median / High Price $502.82 / $723.94 / $1,790.38	Professional		$502.82	$723.94	$1,790.38
Univera Facility/Professional Facility Modifier Low / Median / High Price $678.34 / $678.34 / $3,029.15	Facility		$678.34	$678.34	$3,029.15
Univera Facility/Professional Professional Modifier Low / Median / High Price $531.70 / $740.98 / $1,433.91	Professional		$531.70	$740.98	$1,433.91