Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $529.71 / $2,644.20 / $5,446.34	Facility		$529.71	$2,644.20	$5,446.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $560.66 / $3,273.78 / $10,843.80	Professional		$560.66	$3,273.78	$10,843.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $317.89 / $317.89 / $635.80	Professional		$317.89	$317.89	$635.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,583.00 / $8,134.00 / $16,083.00	Facility		$4,583.00	$8,134.00	$16,083.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,713.18 / $3,661.25 / $8,661.04	Professional		$2,713.18	$3,661.25	$8,661.04
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $618.22 / $1,990.00 / $8,917.50	Facility		$618.22	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $618.22 / $618.22 / $4,732.89	Professional		$618.22	$618.22	$4,732.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $671.14 / $671.14 / $671.14	Professional		$671.14	$671.14	$671.14
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $678.00 / $1,148.35	Facility		$319.00	$678.00	$1,148.35
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,811.61 / $3,651.52 / $5,520.43	Professional		$2,811.61	$3,651.52	$5,520.43
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,087.67 / $3,288.75 / $4,905.32	Professional		$2,087.67	$3,288.75	$4,905.32
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,942.06 / $7,569.14 / $15,220.94	Facility		$5,942.06	$7,569.14	$15,220.94
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $473.50 / $533.60 / $5,194.03	Professional		$473.50	$533.60	$5,194.03
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 $3,431.32 / $4,658.54 / $9,933.65	Professional		$3,431.32	$4,658.54	$9,933.65
United Facility/Professional Professional Modifier Low / Median / High Price $3,016.28 / $4,310.57 / $10,617.24	Professional		$3,016.28	$4,310.57	$10,617.24
Univera Facility/Professional Facility Modifier Low / Median / High Price $544.30 / $544.30 / $1,212.22	Facility		$544.30	$544.30	$1,212.22
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,087.55 / $3,058.23 / $5,248.10	Professional		$1,087.55	$3,058.23	$5,248.10