Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $3,801.89 / $10,232.93	Facility		$269.15	$3,801.89	$10,232.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $1,659.59 / $3,467.37	Professional		$186.21	$1,659.59	$3,467.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Professional		$1,513.56	$1,513.56	$1,513.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $7,762.47 / $13,803.84	Facility		$4,073.80	$7,762.47	$13,803.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,949.84 / $5,495.41	Professional		$1,548.82	$1,949.84	$5,495.41
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $2,290.87 / $2,951.21 / $8,317.64	Professional	50	$2,290.87	$2,951.21	$8,317.64
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $16,595.87	Facility		$251.19	$251.19	$16,595.87
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $2,630.27	Professional		$251.19	$251.19	$2,630.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $3,235.94 / $50,118.72	Facility		$34.67	$3,235.94	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $891.25 / $4,570.88	Professional		$165.96	$891.25	$4,570.88
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $245.47 / $616.60	Facility		$181.97	$245.47	$616.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,570.40 / $3,388.44	Professional		$1,995.26	$2,570.40	$3,388.44
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $2,187.76 / $3,235.94	Professional		$1,230.27	$2,187.76	$3,235.94
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $5,623.41 / $16,595.87	Facility		$5,495.41	$5,623.41	$16,595.87
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $2,398.83 / $2,454.71	Professional		$213.80	$2,398.83	$2,454.71
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $50,118.72 / $75,857.76	Facility		$3,235.94	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,570.40 / $2,818.38	Professional		$2,041.74	$2,570.40	$2,818.38
United Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $6,456.54 / $16,595.87	Facility		$2,511.89	$6,456.54	$16,595.87
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $1,348.96 / $3,890.45	Professional		$181.97	$1,348.96	$3,890.45
Univera Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $223.87 / $275.42	Facility		$131.83	$223.87	$275.42
Univera Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $1,819.70 / $3,019.95	Professional		$223.87	$1,819.70	$3,019.95