Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,519.09 / $5,576.00 / $11,996.00	Facility		$1,519.09	$5,576.00	$11,996.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,181.35 / $1,396.18 / $3,259.88	Professional		$1,181.35	$1,396.18	$3,259.88
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 / $3,026.16	Professional		$966.98	$1,264.03	$3,026.16
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 Facility Modifier AS Low / Median / High Price $126.05 / $126.05 / $126.05	Facility	AS	$126.05	$126.05	$126.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $937.08 / $1,526.84 / $3,451.28	Professional		$937.08	$1,526.84	$3,451.28
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,400.00 / $2,855.48	Facility		$332.00	$1,400.00	$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 $756.88 / $1,345.08 / $2,295.73	Professional		$756.88	$1,345.08	$2,295.73
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,870.00 / $5,236.54 / $8,214.44	Facility		$3,870.00	$5,236.54	$8,214.44
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,152.50 / $1,353.35 / $1,539.19	Professional		$1,152.50	$1,353.35	$1,539.19
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 Facility Modifier AS Low / Median / High Price $126.05 / $126.05 / $126.05	Facility	AS	$126.05	$126.05	$126.05
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,021.75 / $1,592.78 / $3,511.52	Professional		$1,021.75	$1,592.78	$3,511.52
United Facility/Professional Facility Modifier Low / Median / High Price $2,337.00 / $6,759.00 / $12,509.00	Facility		$2,337.00	$6,759.00	$12,509.00
United Facility/Professional Professional Modifier Low / Median / High Price $986.10 / $1,312.13 / $2,832.53	Professional		$986.10	$1,312.13	$2,832.53
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,544.03 / $1,544.03 / $4,281.09	Facility		$1,544.03	$1,544.03	$4,281.09
Univera Facility/Professional Professional Modifier Low / Median / High Price $756.88 / $1,544.03 / $2,870.94	Professional		$756.88	$1,544.03	$2,870.94