Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $700.27 / $1,004.19 / $1,601.98	Facility		$700.27	$1,004.19	$1,601.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $700.26 / $904.08 / $2,585.48	Professional		$700.26	$904.08	$2,585.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,668.44 / $1,668.44 / $1,917.70	Professional		$1,668.44	$1,668.44	$1,917.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $677.75 / $847.10 / $1,938.37	Professional		$677.75	$847.10	$1,938.37
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,281.33 / $1,281.33 / $1,281.33	Facility		$1,281.33	$1,281.33	$1,281.33
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,281.33 / $1,281.33 / $1,281.33	Professional		$1,281.33	$1,281.33	$1,281.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,020.16 / $1,020.16 / $1,020.16	Facility		$1,020.16	$1,020.16	$1,020.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $736.17 / $1,332.90 / $2,647.79	Professional		$736.17	$1,332.90	$2,647.79
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $500.00 / $1,371.28	Facility		$332.00	$500.00	$1,371.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $914.21 / $1,273.40 / $2,342.38	Professional		$914.21	$1,273.40	$2,342.38
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $831.08 / $831.08 / $831.08	Facility		$831.08	$831.08	$831.08
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $736.38 / $1,037.27 / $1,901.59	Professional		$736.38	$1,037.27	$1,901.59
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,155.82 / $1,239.20 / $2,151.16	Professional		$1,155.82	$1,239.20	$2,151.16
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,020.16 / $1,020.16	Facility		$597.00	$1,020.16	$1,020.16
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $800.00 / $1,282.33 / $2,458.77	Professional		$800.00	$1,282.33	$2,458.77
United Facility/Professional Professional Modifier Low / Median / High Price $796.97 / $1,189.56 / $2,007.87	Professional		$796.97	$1,189.56	$2,007.87
Univera Facility/Professional Facility Modifier Low / Median / High Price $831.08 / $831.08 / $831.08	Facility		$831.08	$831.08	$831.08
Univera Facility/Professional Professional Modifier Low / Median / High Price $807.56 / $1,200.97 / $2,182.92	Professional		$807.56	$1,200.97	$2,182.92