Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $3,801.89 / $8,912.51	Facility		$691.83	$3,801.89	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $616.60 / $1,737.80	Professional		$436.52	$616.60	$1,737.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Professional		$512.86	$512.86	$512.86
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 $354.81 / $467.74 / $1,380.38	Professional		$354.81	$467.74	$1,380.38
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,698.24 / $6,165.95	Facility		$724.44	$1,698.24	$6,165.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Professional		$724.44	$724.44	$724.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $50,118.72	Facility		$851.14	$851.14	$50,118.72
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $85.11 / $85.11 / $85.11	Facility	AS	$85.11	$85.11	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $758.58 / $2,398.83	Professional		$478.63	$758.58	$2,398.83
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,000.00 / $1,819.70	Facility		$524.81	$1,000.00	$1,819.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $741.31 / $1,047.13	Professional		$537.03	$741.31	$1,047.13
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Facility		$478.63	$478.63	$478.63
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $660.69 / $1,096.48	Professional		$398.11	$660.69	$1,096.48
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,019.95 / $4,466.84	Facility		$1,819.70	$3,019.95	$4,466.84
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $724.44 / $724.44	Professional		$512.86	$724.44	$724.44
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $50,118.72 / $75,857.76	Facility		$467.74	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $707.95 / $1,148.15	Professional		$398.11	$707.95	$1,148.15
United Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $4,265.80 / $9,549.93	Facility		$2,041.74	$4,265.80	$9,549.93
United Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $645.65 / $1,621.81	Professional		$416.87	$645.65	$1,621.81
Univera Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $602.56 / $2,089.30	Facility		$416.87	$602.56	$2,089.30
Univera Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $616.60 / $1,380.38	Professional		$416.87	$616.60	$1,380.38