Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.73 / $3,841.00 / $9,699.84	Facility		$758.73	$3,841.00	$9,699.84
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,537.86 / $3,600.25 / $8,271.08	Facility	50	$1,537.86	$3,600.25	$8,271.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.86 / $481.11 / $1,106.59	Professional		$250.86	$481.11	$1,106.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $213.87 / $213.87 / $213.87	Professional		$213.87	$213.87	$213.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $5,160.00 / $11,809.00	Facility		$3,283.00	$5,160.00	$11,809.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $417.96 / $527.79 / $1,087.58	Professional		$417.96	$527.79	$1,087.58
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $619.15 / $1,716.00 / $6,213.00	Facility		$619.15	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $619.15 / $619.15 / $619.15	Professional		$619.15	$619.15	$619.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.23 / $501.23 / $4,612.43	Facility		$501.23	$501.23	$4,612.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.10 / $782.77 / $1,860.82	Professional		$371.10	$782.77	$1,860.82
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $477.75 / $1,192.03	Facility		$319.00	$477.75	$1,192.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $524.01 / $596.98 / $916.54	Professional		$524.01	$596.98	$916.54
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $357.59 / $412.22 / $872.83	Professional		$357.59	$412.22	$872.83
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,481.56 / $4,531.42 / $12,687.90	Facility		$1,481.56	$4,531.42	$12,687.90
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $2,258.31 / $2,748.24 / $8,602.94	Facility	50	$2,258.31	$2,748.24	$8,602.94
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $411.71 / $517.75 / $868.80	Professional		$411.71	$517.75	$868.80
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $501.23 / $597.00 / $23,610.00	Facility		$501.23	$597.00	$23,610.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $375.40 / $784.02 / $1,691.72	Professional		$375.40	$784.02	$1,691.72
United Facility/Professional Facility Modifier Low / Median / High Price $2,031.00 / $4,840.00 / $9,202.00	Facility		$2,031.00	$4,840.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $400.69 / $578.73 / $1,274.31	Professional		$400.69	$578.73	$1,274.31
Univera Facility/Professional Facility Modifier Low / Median / High Price $470.18 / $470.18 / $1,299.41	Facility		$470.18	$470.18	$1,299.41
Univera Facility/Professional Professional Modifier Low / Median / High Price $362.18 / $546.89 / $1,034.91	Professional		$362.18	$546.89	$1,034.91