Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $399.02 / $3,316.00 / $9,648.00	Facility		$399.02	$3,316.00	$9,648.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $282.50 / $461.72 / $912.94	Professional		$282.50	$461.72	$912.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $278.10 / $278.10 / $278.10	Professional		$278.10	$278.10	$278.10
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 $338.13 / $427.16 / $1,032.86	Professional		$338.13	$427.16	$1,032.86
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $453.14 / $1,990.00 / $8,917.50	Facility		$453.14	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $453.14 / $453.14 / $693.30	Professional		$453.14	$453.14	$693.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $542.29 / $542.29 / $5,246.94	Facility		$542.29	$542.29	$5,246.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.93 / $604.10 / $1,388.16	Professional		$316.93	$604.10	$1,388.16
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $332.00 / $853.07	Facility		$200.00	$332.00	$853.07
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $506.82 / $655.19 / $974.21	Professional		$506.82	$655.19	$974.21
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $446.36 / $446.36 / $862.75	Facility		$446.36	$446.36	$862.75
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $339.87 / $633.83 / $885.61	Professional		$339.87	$633.83	$885.61
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,803.50 / $5,389.20 / $5,969.66	Facility		$2,803.50	$5,389.20	$5,969.66
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $639.91 / $643.42 / $764.55	Professional		$639.91	$643.42	$764.55
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $542.29 / $555.00 / $5,246.94	Facility		$542.29	$555.00	$5,246.94
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $334.51 / $635.44 / $1,337.23	Professional		$334.51	$635.44	$1,337.23
United Facility/Professional Facility Modifier Low / Median / High Price $1,693.00 / $3,972.00 / $9,202.00	Facility		$1,693.00	$3,972.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $388.89 / $553.60 / $1,243.64	Professional		$388.89	$553.60	$1,243.64
Univera Facility/Professional Facility Modifier Low / Median / High Price $381.88 / $381.88 / $1,078.58	Facility		$381.88	$381.88	$1,078.58
Univera Facility/Professional Professional Modifier Low / Median / High Price $339.87 / $639.98 / $1,006.60	Professional		$339.87	$639.98	$1,006.60