Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $5,370.32 / $10,000.00	Facility		$891.25	$5,370.32	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $812.83 / $2,398.83	Professional		$524.81	$812.83	$2,398.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Professional		$776.25	$776.25	$776.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,786.30 / $10,000.00	Facility		$2,630.27	$4,786.30	$10,000.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $616.60 / $1,698.24	Professional		$478.63	$616.60	$1,698.24
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $2,398.83 / $10,964.78	Facility		$954.99	$2,398.83	$10,964.78
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Professional		$954.99	$954.99	$954.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,290.87 / $50,118.72	Facility		$1,096.48	$2,290.87	$50,118.72
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Facility	22	$1,318.26	$1,318.26	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $1,047.13 / $2,884.03	Professional		$512.86	$1,047.13	$2,884.03
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $758.58 / $2,137.96	Facility		$512.86	$758.58	$2,137.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $870.96 / $1,258.93	Professional		$645.65	$870.96	$1,258.93
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $870.96 / $1,445.44	Professional		$489.78	$870.96	$1,445.44
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $4,365.16 / $6,918.31	Facility		$1,698.24	$4,365.16	$6,918.31
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $50,118.72 / $75,857.76	Facility		$602.56	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $851.14 / $1,380.38	Professional		$398.11	$851.14	$1,380.38
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $4,365.16 / $9,549.93	Facility		$2,137.96	$4,365.16	$9,549.93
United Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $724.44 / $1,905.46	Professional		$478.63	$724.44	$1,905.46
Univera Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $741.31 / $1,621.81	Facility		$549.54	$741.31	$1,621.81
Univera Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $812.83 / $2,137.96	Professional		$537.03	$812.83	$2,137.96