Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.39 / $5,298.00 / $25,937.60	Facility		$549.39	$5,298.00	$25,937.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $364.38 / $462.16 / $1,080.81	Professional		$364.38	$462.16	$1,080.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $550.99 / $550.99 / $550.99	Professional		$550.99	$550.99	$550.99
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 $291.45 / $381.00 / $934.15	Professional		$291.45	$381.00	$934.15
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $568.45 / $1,990.00 / $8,917.50	Facility		$568.45	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $568.45 / $568.45 / $568.45	Professional		$568.45	$568.45	$568.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $464.98 / $464.98 / $464.98	Facility		$464.98	$464.98	$464.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $370.81 / $605.94 / $1,707.52	Professional		$370.81	$605.94	$1,707.52
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $600.00 / $1,094.54	Facility		$332.00	$600.00	$1,094.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $448.31 / $635.80 / $938.87	Professional		$448.31	$635.80	$938.87
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $384.98 / $384.98 / $384.98	Facility		$384.98	$384.98	$384.98
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.58 / $478.49 / $869.10	Professional		$316.58	$478.49	$869.10
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,150.82 / $3,150.82 / $3,150.82	Facility		$3,150.82	$3,150.82	$3,150.82
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $464.98 / $555.00 / $36,596.00	Facility		$464.98	$555.00	$36,596.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $406.52 / $622.04 / $1,606.50	Professional		$406.52	$622.04	$1,606.50
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 $334.91 / $522.46 / $1,201.65	Professional		$334.91	$522.46	$1,201.65
Univera Facility/Professional Facility Modifier Low / Median / High Price $478.49 / $478.49 / $1,542.52	Facility		$478.49	$478.49	$1,542.52
Univera Facility/Professional Professional Modifier Low / Median / High Price $335.02 / $527.89 / $1,041.45	Professional		$335.02	$527.89	$1,041.45