Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $646.61 / $3,739.88 / $7,756.85	Facility		$646.61	$3,739.88	$7,756.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $682.22 / $4,630.33 / $15,520.90	Professional		$682.22	$4,630.33	$15,520.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $774.30 / $774.30 / $774.30	Professional		$774.30	$774.30	$774.30
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 $3,850.37 / $5,196.54 / $12,263.34	Professional		$3,850.37	$5,196.54	$12,263.34
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $752.93 / $1,990.00 / $8,917.50	Facility		$752.93	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $752.93 / $752.93 / $6,778.36	Professional		$752.93	$752.93	$6,778.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $818.98 / $818.98 / $818.98	Professional		$818.98	$818.98	$818.98
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $828.00 / $1,396.22	Facility		$319.00	$828.00	$1,396.22
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,995.81 / $5,164.60 / $7,803.44	Professional		$3,995.81	$5,164.60	$7,803.44
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,974.22 / $4,713.85 / $6,951.90	Professional		$2,974.22	$4,713.85	$6,951.90
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,419.64 / $14,935.68 / $22,063.78	Facility		$4,419.64	$14,935.68	$22,063.78
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $580.11 / $644.60 / $7,438.79	Professional		$580.11	$644.60	$7,438.79
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 $4,939.71 / $7,524.70 / $14,216.93	Professional		$4,939.71	$7,524.70	$14,216.93
United Facility/Professional Professional Modifier Low / Median / High Price $3,739.88 / $5,994.52 / $13,886.67	Professional		$3,739.88	$5,994.52	$13,886.67
Univera Facility/Professional Facility Modifier Low / Median / High Price $662.30 / $662.30 / $1,479.36	Facility		$662.30	$662.30	$1,479.36
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,323.30 / $4,580.12 / $7,437.68	Professional		$1,323.30	$4,580.12	$7,437.68