Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $810.64 / $3,945.58 / $9,868.00	Facility		$810.64	$3,945.58	$9,868.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $520.76 / $697.08 / $2,558.00	Professional		$520.76	$697.08	$2,558.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $378.20 / $408.05 / $816.10	Professional		$378.20	$408.05	$816.10
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 $445.88 / $562.99 / $1,450.41	Professional		$445.88	$562.99	$1,450.41
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $846.91 / $1,716.00 / $6,213.00	Facility		$846.91	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $846.91 / $846.91 / $846.91	Professional		$846.91	$846.91	$846.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $691.89 / $691.89 / $691.89	Facility		$691.89	$691.89	$691.89
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $68.64 / $68.64 / $68.64	Facility	AS	$68.64	$68.64	$68.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $538.46 / $899.59 / $2,699.96	Professional		$538.46	$899.59	$2,699.96
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $991.00 / $1,628.66	Facility		$332.00	$991.00	$1,628.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $666.90 / $946.27 / $1,397.03	Professional		$666.90	$946.27	$1,397.03
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $572.69 / $572.69 / $572.69	Facility		$572.69	$572.69	$572.69
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $470.42 / $708.01 / $1,285.98	Professional		$470.42	$708.01	$1,285.98
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $752.62 / $2,073.28 / $4,697.17	Facility		$752.62	$2,073.28	$4,697.17
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $4,525.39 / $4,525.39 / $4,525.39	Facility	50	$4,525.39	$4,525.39	$4,525.39
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $572.69 / $848.34 / $870.26	Professional		$572.69	$848.34	$870.26
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $691.89	Facility		$555.00	$597.00	$691.89
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $68.64 / $68.64 / $68.64	Facility	AS	$68.64	$68.64	$68.64
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $601.64 / $922.16 / $2,513.98	Professional		$601.64	$922.16	$2,513.98
United Facility/Professional Facility Modifier Low / Median / High Price $2,031.00 / $4,840.00 / $9,416.00	Facility		$2,031.00	$4,840.00	$9,416.00
United Facility/Professional Professional Modifier Low / Median / High Price $528.44 / $823.79 / $2,069.98	Professional		$528.44	$823.79	$2,069.98
Univera Facility/Professional Facility Modifier Low / Median / High Price $708.01 / $708.01 / $2,274.23	Facility		$708.01	$708.01	$2,274.23
Univera Facility/Professional Professional Modifier Low / Median / High Price $470.42 / $785.27 / $1,541.00	Professional		$470.42	$785.27	$1,541.00