Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $255.03 / $3,917.00 / $10,152.00	Facility		$255.03	$3,917.00	$10,152.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.05 / $1,825.92 / $3,116.33	Professional		$166.05	$1,825.92	$3,116.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,410.80 / $1,410.80 / $1,410.80	Professional		$1,410.80	$1,410.80	$1,410.80
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 $1,419.83 / $1,915.96 / $4,609.74	Professional		$1,419.83	$1,915.96	$4,609.74
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $2,129.75 / $2,873.95 / $6,914.61	Professional	50	$2,129.75	$2,873.95	$6,914.61
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $250.85 / $250.85 / $16,534.50	Facility		$250.85	$250.85	$16,534.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $250.85 / $250.85 / $2,656.73	Professional		$250.85	$250.85	$2,656.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.74 / $7,227.90 / $39,142.00	Facility		$302.74	$7,227.90	$39,142.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.61 / $640.57 / $4,395.75	Professional		$148.61	$640.57	$4,395.75
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $185.84 / $268.74 / $463.48	Facility		$185.84	$268.74	$463.48
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,838.20 / $2,205.84 / $3,180.09	Professional		$1,838.20	$2,205.84	$3,180.09
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,453.67 / $2,180.50 / $3,020.92	Professional		$1,453.67	$2,180.50	$3,020.92
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,515.30 / $5,655.44 / $16,226.00	Facility		$5,515.30	$5,655.44	$16,226.00
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $211.79 / $1,453.67 / $2,416.80	Professional		$211.79	$1,453.67	$2,416.80
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $302.74 / $597.00 / $74,999.25	Facility		$302.74	$597.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $207.09 / $1,516.64 / $4,395.75	Professional		$207.09	$1,516.64	$4,395.75
United Facility/Professional Facility Modifier Low / Median / High Price $2,444.00 / $6,700.00 / $16,403.00	Facility		$2,444.00	$6,700.00	$16,403.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,670.08 / $2,412.33 / $5,562.47	Professional		$1,670.08	$2,412.33	$5,562.47
Univera Facility/Professional Facility Modifier Low / Median / High Price $221.98 / $221.98 / $280.12	Facility		$221.98	$221.98	$280.12
Univera Facility/Professional Professional Modifier Low / Median / High Price $280.12 / $2,071.04 / $3,266.72	Professional		$280.12	$2,071.04	$3,266.72