Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $3,890.45 / $10,232.93	Facility		$416.87	$3,890.45	$10,232.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $588.84 / $4,897.79	Professional		$269.15	$588.84	$4,897.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $295.12 / $2,041.74	Professional		$234.42	$295.12	$2,041.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,786.30 / $10,232.93	Facility		$2,630.27	$4,786.30	$10,232.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,454.71 / $5,248.07	Professional		$1,995.26	$2,454.71	$5,248.07
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $6,165.95	Facility		$380.19	$380.19	$6,165.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $4,073.80	Professional		$380.19	$380.19	$4,073.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $457.09 / $43,651.58	Facility		$34.67	$457.09	$43,651.58
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $549.54 / $549.54 / $549.54	Facility	22	$549.54	$549.54	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $912.01 / $6,760.83	Professional		$323.59	$912.01	$6,760.83
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $363.08 / $912.01	Facility		$257.04	$363.08	$912.01
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,890.45 / $6,025.60	Professional		$2,884.03	$3,890.45	$6,025.60
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Facility		$2,137.96	$2,137.96	$2,137.96
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $3,019.95 / $5,011.87	Professional		$489.78	$3,019.95	$5,011.87
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,445.44 / $2,290.87	Facility		$1,000.00	$1,445.44	$2,290.87
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $457.09 / $524.81	Professional		$446.68	$457.09	$524.81
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $50,118.72 / $75,857.76	Facility		$275.42	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $3,801.89 / $6,165.95	Professional		$398.11	$3,801.89	$6,165.95
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,630.78 / $8,128.31	Facility		$1,698.24	$3,630.78	$8,128.31
United Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $691.83 / $4,570.88	Professional		$234.42	$691.83	$4,570.88
Univera Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $389.05 / $870.96	Facility		$218.78	$389.05	$870.96
Univera Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $2,630.27 / $4,786.30	Professional		$489.78	$2,630.27	$4,786.30