Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $677.72 / $3,818.00 / $9,254.95	Facility		$677.72	$3,818.00	$9,254.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $447.56 / $574.40 / $1,357.83	Professional		$447.56	$574.40	$1,357.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $315.79 / $315.79 / $315.79	Professional		$315.79	$315.79	$315.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,385.00 / $4,133.00 / $9,074.00	Facility		$2,385.00	$4,133.00	$9,074.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $357.82 / $467.74 / $1,208.23	Professional		$357.82	$467.74	$1,208.23
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $718.68 / $1,716.00 / $6,213.00	Facility		$718.68	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $718.68 / $718.68 / $718.68	Professional		$718.68	$718.68	$718.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $576.94 / $576.94 / $576.94	Facility		$576.94	$576.94	$576.94
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $57.68 / $57.68 / $57.68	Facility	AS	$57.68	$57.68	$57.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $475.42 / $771.75 / $2,284.10	Professional		$475.42	$771.75	$2,284.10
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $878.66 / $1,590.40	Facility		$332.00	$878.66	$1,590.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $559.12 / $781.35 / $1,149.16	Professional		$559.12	$781.35	$1,149.16
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $480.14 / $480.14 / $480.14	Facility		$480.14	$480.14	$480.14
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $384.86 / $597.35 / $1,084.99	Professional		$384.86	$597.35	$1,084.99
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $751.77 / $3,011.08 / $4,417.62	Facility		$751.77	$3,011.08	$4,417.62
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $509.24 / $509.24 / $724.41	Professional		$509.24	$509.24	$724.41
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $576.94 / $597.00	Facility		$555.00	$576.94	$597.00
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $57.68 / $57.68 / $57.68	Facility	AS	$57.68	$57.68	$57.68
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $509.42 / $775.87 / $2,036.78	Professional		$509.42	$775.87	$2,036.78
United Facility/Professional Facility Modifier Low / Median / High Price $2,031.00 / $4,597.39 / $9,202.00	Facility		$2,031.00	$4,597.39	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $447.80 / $696.53 / $1,783.95	Professional		$447.80	$696.53	$1,783.95
Univera Facility/Professional Facility Modifier Low / Median / High Price $597.35 / $597.35 / $2,092.25	Facility		$597.35	$597.35	$2,092.25
Univera Facility/Professional Professional Modifier Low / Median / High Price $384.86 / $658.37 / $1,300.15	Professional		$384.86	$658.37	$1,300.15