Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,425.17 / $5,370.00 / $12,089.21	Facility		$1,425.17	$5,370.00	$12,089.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,072.82 / $1,364.13 / $2,702.38	Professional		$1,072.82	$1,364.13	$2,702.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,083.29 / $1,083.29 / $1,083.29	Professional		$1,083.29	$1,083.29	$1,083.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,046.00 / $7,264.00 / $12,538.00	Facility		$4,046.00	$7,264.00	$12,538.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $966.98 / $1,264.03 / $2,748.24	Professional		$966.98	$1,264.03	$2,748.24
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,600.22 / $3,478.50 / $13,477.50	Facility		$1,600.22	$3,478.50	$13,477.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,600.22 / $1,600.22 / $1,600.22	Professional		$1,600.22	$1,600.22	$1,600.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,266.49 / $1,266.49 / $2,907.52	Facility		$1,266.49	$1,266.49	$2,907.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $937.08 / $1,487.78 / $3,451.28	Professional		$937.08	$1,487.78	$3,451.28
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,232.00 / $2,855.48	Facility		$332.00	$1,232.00	$2,855.48
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,240.83 / $1,522.92 / $2,366.98	Professional		$1,240.83	$1,522.92	$2,366.98
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $662.21 / $1,224.65 / $2,295.73	Professional		$662.21	$1,224.65	$2,295.73
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,128.35 / $5,399.35 / $7,927.84	Facility		$2,128.35	$5,399.35	$7,927.84
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,181.58 / $1,353.35 / $1,400.62	Professional		$1,181.58	$1,353.35	$1,400.62
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,266.49 / $74,999.25	Facility		$555.00	$1,266.49	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,016.90 / $1,569.85 / $3,470.16	Professional		$1,016.90	$1,569.85	$3,470.16
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,731.00 / $12,509.00	Facility		$2,264.00	$5,731.00	$12,509.00
United Facility/Professional Professional Modifier Low / Median / High Price $979.37 / $1,291.46 / $2,573.71	Professional		$979.37	$1,291.46	$2,573.71
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,544.03 / $1,544.03 / $3,735.48	Facility		$1,544.03	$1,544.03	$3,735.48
Univera Facility/Professional Professional Modifier Low / Median / High Price $662.21 / $1,544.03 / $2,870.94	Professional		$662.21	$1,544.03	$2,870.94