Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $591.01 / $2,791.54 / $6,704.37	Facility		$591.01	$2,791.54	$6,704.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $621.41 / $3,456.19 / $11,892.60	Professional		$621.41	$3,456.19	$11,892.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $235.13 / $235.13 / $235.13	Professional		$235.13	$235.13	$235.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,989.00 / $9,750.00 / $16,411.00	Facility		$4,989.00	$9,750.00	$16,411.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,864.49 / $3,865.43 / $10,667.84	Professional		$2,864.49	$3,865.43	$10,667.84
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $4,296.72 / $5,798.15 / $15,882.76	Professional	50	$4,296.72	$5,798.15	$15,882.76
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $686.52 / $1,990.00 / $8,917.50	Facility		$686.52	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $686.52 / $686.52 / $5,190.31	Professional		$686.52	$686.52	$5,190.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $744.38 / $744.38 / $744.38	Professional		$744.38	$744.38	$744.38
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $754.00 / $3,093.72	Facility		$332.00	$754.00	$3,093.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,966.46 / $3,854.98 / $5,828.91	Professional		$2,966.46	$3,854.98	$5,828.91
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,569.54 / $3,799.31 / $5,179.89	Professional		$2,569.54	$3,799.31	$5,179.89
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,967.00 / $17,694.16 / $22,070.37	Facility		$6,967.00	$17,694.16	$22,070.37
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $529.04 / $4,805.68 / $5,696.01	Professional		$529.04	$4,805.68	$5,696.01
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $802.85 / $891.38 / $8,544.00	Professional	50	$802.85	$891.38	$8,544.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $74,999.25	Facility		$555.00	$597.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $3,906.41 / $5,109.79 / $12,136.47	Professional		$3,906.41	$5,109.79	$12,136.47
United Facility/Professional Professional Modifier Low / Median / High Price $3,209.66 / $5,150.85 / $12,181.80	Professional		$3,209.66	$5,150.85	$12,181.80
Univera Facility/Professional Facility Modifier Low / Median / High Price $603.27 / $603.27 / $1,344.12	Facility		$603.27	$603.27	$1,344.12
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,205.35 / $3,412.68 / $5,541.86	Professional		$1,205.35	$3,412.68	$5,541.86