Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $5,248.07 / $12,022.64	Facility		$1,047.13	$5,248.07	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $851.14 / $2,570.40	Professional		$630.96	$851.14	$2,570.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Professional		$645.65	$645.65	$645.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $5,888.44 / $12,302.69	Facility		$3,388.44	$5,888.44	$12,302.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $676.08 / $1,819.70	Professional		$537.03	$676.08	$1,819.70
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $2,630.27 / $12,302.69	Facility		$933.25	$2,630.27	$12,302.69
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Professional		$933.25	$933.25	$933.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $5,754.40 / $53,703.18	Facility		$4,786.30	$5,754.40	$53,703.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $891.25 / $2,691.53	Professional		$776.25	$891.25	$2,691.53
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $851.14 / $1,949.84	Facility		$602.56	$851.14	$1,949.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $724.44 / $1,122.02	Professional		$588.84	$724.44	$1,122.02
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $776.25 / $1,230.27	Professional		$512.86	$776.25	$1,230.27
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Professional		$812.83	$812.83	$812.83
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $50,118.72 / $75,857.76	Facility		$1,023.29	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $794.33 / $1,445.44	Professional		$398.11	$794.33	$1,445.44
United Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $4,897.79 / $11,481.54	Facility		$2,187.76	$4,897.79	$11,481.54
United Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $741.31 / $1,548.82	Professional		$524.81	$741.31	$1,548.82
Univera Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $794.33 / $2,691.53	Facility		$478.63	$794.33	$2,691.53
Univera Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $776.25 / $2,398.83	Professional		$478.63	$776.25	$2,398.83