Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $521.59 / $3,100.00 / $9,038.00	Facility		$521.59	$3,100.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $393.54 / $572.41 / $1,213.65	Professional		$393.54	$572.41	$1,213.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $410.05 / $410.05 / $410.05	Professional		$410.05	$410.05	$410.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,373.00 / $4,085.00 / $8,281.00	Facility		$2,373.00	$4,085.00	$8,281.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $404.33 / $502.11 / $1,290.35	Professional		$404.33	$502.11	$1,290.35
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $599.91 / $1,990.00 / $8,917.50	Facility		$599.91	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $599.91 / $599.91 / $796.62	Professional		$599.91	$599.91	$796.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $723.47 / $723.47 / $5,246.94	Facility		$723.47	$723.47	$5,246.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $397.79 / $713.11 / $1,737.27	Professional		$397.79	$713.11	$1,737.27
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $250.00 / $332.00 / $1,147.33	Facility		$250.00	$332.00	$1,147.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $592.04 / $764.34 / $1,138.03	Professional		$592.04	$764.34	$1,138.03
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $518.64 / $518.64 / $862.75	Facility		$518.64	$518.64	$862.75
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $390.60 / $662.24 / $1,027.80	Professional		$390.60	$662.24	$1,027.80
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,923.95 / $2,303.88 / $5,943.69	Facility		$1,923.95	$2,303.88	$5,943.69
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $401.69 / $735.27 / $1,329.73	Professional		$401.69	$735.27	$1,329.73
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $723.47 / $5,246.94	Facility		$597.00	$723.47	$5,246.94
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $417.98 / $745.49 / $1,690.68	Professional		$417.98	$745.49	$1,690.68
United Facility/Professional Facility Modifier Low / Median / High Price $1,269.00 / $3,612.00 / $8,133.00	Facility		$1,269.00	$3,612.00	$8,133.00
United Facility/Professional Professional Modifier Low / Median / High Price $446.62 / $641.89 / $1,582.68	Professional		$446.62	$641.89	$1,582.68
Univera Facility/Professional Facility Modifier Low / Median / High Price $510.22 / $510.22 / $1,413.93	Facility		$510.22	$510.22	$1,413.93
Univera Facility/Professional Professional Modifier Low / Median / High Price $390.60 / $696.54 / $1,168.21	Professional		$390.60	$696.54	$1,168.21