Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $373.50 / $3,917.00 / $10,965.00	Facility		$373.50	$3,917.00	$10,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.22 / $1,222.77 / $2,264.32	Professional		$318.22	$1,222.77	$2,264.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $855.61 / $855.61 / $855.61	Professional		$855.61	$855.61	$855.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,263.00 / $5,184.00 / $11,809.00	Facility		$3,263.00	$5,184.00	$11,809.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $853.88 / $1,152.25 / $3,386.76	Professional		$853.88	$1,152.25	$3,386.76
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $1,280.82 / $1,728.38 / $5,080.14	Professional	50	$1,280.82	$1,728.38	$5,080.14
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $387.35 / $4,275.50 / $16,534.50	Facility		$387.35	$4,275.50	$16,534.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $387.35 / $387.35 / $1,517.00	Professional		$387.35	$387.35	$1,517.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $468.06 / $468.06 / $13,296.25	Facility		$468.06	$468.06	$13,296.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $307.27 / $1,009.89 / $3,615.87	Professional		$307.27	$1,009.89	$3,615.87
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $288.00 / $416.00 / $717.71	Facility		$288.00	$416.00	$717.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $940.04 / $1,257.43 / $2,741.15	Professional		$940.04	$1,257.43	$2,741.15
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $867.19 / $1,218.24 / $1,660.91	Professional		$867.19	$1,218.24	$1,660.91
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $775.72 / $866.20 / $1,116.79	Professional		$775.72	$866.20	$1,116.79
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,078.29 / $4,122.21 / $4,169.00	Facility		$4,078.29	$4,122.21	$4,169.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $468.06 / $597.00 / $74,999.25	Facility		$468.06	$597.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $364.76 / $1,400.61 / $3,756.75	Professional		$364.76	$1,400.61	$3,756.75
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,248.00 / $11,176.00	Facility		$2,264.00	$5,248.00	$11,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $971.02 / $1,439.76 / $2,984.27	Professional		$971.02	$1,439.76	$2,984.27
Univera Facility/Professional Facility Modifier Low / Median / High Price $343.91 / $343.91 / $1,089.64	Facility		$343.91	$343.91	$1,089.64
Univera Facility/Professional Professional Modifier Low / Median / High Price $687.15 / $1,094.26 / $1,776.98	Professional		$687.15	$1,094.26	$1,776.98