Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.85 / $3,841.00 / $11,996.00	Facility		$346.85	$3,841.00	$11,996.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $259.50 / $657.54 / $1,470.61	Professional		$259.50	$657.54	$1,470.61
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $624.00 / $624.00 / $624.00	Professional	50	$624.00	$624.00	$624.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $101.91 / $101.91 / $101.91	Professional		$101.91	$101.91	$101.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,079.00 / $7,264.00 / $12,538.00	Facility		$4,079.00	$7,264.00	$12,538.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $710.65 / $1,000.95 / $2,394.82	Professional		$710.65	$1,000.95	$2,394.82
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $1,154.00 / $1,475.29 / $3,357.46	Professional	50	$1,154.00	$1,475.29	$3,357.46
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $352.65 / $352.65 / $10,957.50	Facility		$352.65	$352.65	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $352.65 / $352.65 / $1,248.82	Professional		$352.65	$352.65	$1,248.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $424.16 / $424.16 / $14,648.00	Facility		$424.16	$424.16	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.51 / $789.20 / $2,459.76	Professional		$263.51	$789.20	$2,459.76
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $195.00 / $295.95 / $648.00	Facility		$195.00	$295.95	$648.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $832.46 / $1,128.45 / $1,692.68	Professional		$832.46	$1,128.45	$1,692.68
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $731.40 / $1,082.47 / $1,714.39	Professional		$731.40	$1,082.47	$1,714.39
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.99 / $3,870.00 / $7,740.00	Facility		$83.99	$3,870.00	$7,740.00
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $585.48 / $841.11 / $1,370.51	Professional		$585.48	$841.11	$1,370.51
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $424.16 / $424.16 / $597.00	Facility		$424.16	$424.16	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $275.51 / $921.89 / $2,633.71	Professional		$275.51	$921.89	$2,633.71
United Facility/Professional Facility Modifier Low / Median / High Price $1,079.00 / $2,884.00 / $4,840.00	Facility		$1,079.00	$2,884.00	$4,840.00
United Facility/Professional Professional Modifier Low / Median / High Price $758.25 / $1,082.29 / $2,525.48	Professional		$758.25	$1,082.29	$2,525.48
Univera Facility/Professional Facility Modifier Low / Median / High Price $311.41 / $311.41 / $1,037.30	Facility		$311.41	$311.41	$1,037.30
Univera Facility/Professional Professional Modifier Low / Median / High Price $660.87 / $1,034.06 / $1,714.39	Professional		$660.87	$1,034.06	$1,714.39