Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $5,128.61 / $17,782.79	Facility		$645.65	$5,128.61	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $891.25 / $3,715.35	Professional		$389.05	$891.25	$3,715.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $2,041.74 / $2,290.87	Professional		$489.78	$2,041.74	$2,290.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $11,481.54 / $43,651.58	Facility		$5,011.87	$11,481.54	$43,651.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $2,454.71 / $3,890.45	Professional		$1,023.29	$2,454.71	$3,890.45
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,698.24 / $6,165.95	Facility		$588.84	$1,698.24	$6,165.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $588.84 / $3,162.28	Professional		$588.84	$588.84	$3,162.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $50,118.72	Facility		$707.95	$707.95	$50,118.72
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $141.25 / $141.25 / $141.25	Facility	53	$141.25	$141.25	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $1,659.59 / $7,244.36	Professional		$436.52	$1,659.59	$7,244.36
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $977.24 / $1,584.89	Facility		$436.52	$977.24	$1,584.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,801.89 / $5,495.41	Professional		$2,754.23	$3,801.89	$5,495.41
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,041.74	Facility		$2,041.74	$2,041.74	$2,041.74
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $2,754.23 / $4,786.30	Professional		$389.05	$2,754.23	$4,786.30
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $5,248.07 / $8,317.64	Facility		$2,137.96	$5,248.07	$8,317.64
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Professional		$3,090.30	$3,090.30	$3,090.30
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $50,118.72 / $75,857.76	Facility		$436.52	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $2,630.27 / $5,011.87	Professional		$398.11	$2,630.27	$5,011.87
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $8,128.31 / $36,307.81	Facility		$2,454.71	$8,128.31	$36,307.81
United Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $1,445.44 / $4,073.80	Professional		$389.05	$1,445.44	$4,073.80
Univera Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $478.63 / $1,862.09	Facility		$338.84	$478.63	$1,862.09
Univera Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $2,398.83 / $4,570.88	Professional		$398.11	$2,398.83	$4,570.88