Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $733.67 / $981.91 / $4,558.35	Facility		$733.67	$981.91	$4,558.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $733.67 / $741.00 / $991.10	Professional		$733.67	$741.00	$991.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $733.67 / $733.67 / $733.67	Professional		$733.67	$733.67	$733.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $586.94 / $586.94 / $733.67	Facility		$586.94	$586.94	$733.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $503.98 / $733.67 / $761.86	Professional		$503.98	$733.67	$761.86
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $543.16 / $543.16 / $570.32	Facility		$543.16	$543.16	$570.32
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $543.16 / $543.16 / $543.16	Professional		$543.16	$543.16	$543.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $571.02 / $692.14 / $1,072.43	Facility		$571.02	$692.14	$1,072.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $733.67 / $733.67 / $733.67	Professional		$733.67	$733.67	$733.67
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,266.61 / $2,157.98	Facility		$319.00	$1,266.61	$2,157.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $761.35 / $1,348.74 / $1,348.74	Professional		$761.35	$1,348.74	$1,348.74
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $733.67 / $733.67 / $747.51	Facility		$733.67	$733.67	$747.51
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $733.67 / $747.51 / $747.51	Professional		$733.67	$747.51	$747.51
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,189.53 / $1,189.53 / $1,189.53	Facility		$1,189.53	$1,189.53	$1,189.53
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $571.02 / $692.14 / $1,072.43	Facility		$571.02	$692.14	$1,072.43
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $395.00 / $733.67 / $795.96	Professional		$395.00	$733.67	$795.96
United Facility/Professional Professional Modifier Low / Median / High Price $733.67 / $777.69 / $1,081.85	Professional		$733.67	$777.69	$1,081.85
Univera Facility/Professional Facility Modifier Low / Median / High Price $747.51 / $747.51 / $747.51	Facility		$747.51	$747.51	$747.51
Univera Facility/Professional Professional Modifier Low / Median / High Price $733.67 / $747.51 / $747.51	Professional		$733.67	$747.51	$747.51